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Membership Information


The membership dues has several categories.  Sustaining membership is 100.00 and is encouraged because it helps us with our educational endeavors, and our student scholarship.  General membership is 50.00 which supports our society programs, covers some of our operating expenses, and web site.  Associate membership is 25.00 for auto-transfusionists and perfusion assistants.  Perfusion Student membership is also 25.00   Please decide which level you would like to help support us. 

Sustaining- 100.00

General- 50.00

Associates (non-perfusionist)- 25.00

Perfusion Student- 25.00

Credit Card Payment Option is available.  Thank you for your support!




Annual Membership




  Please highlight and print membership form and mail with dues

 

 

Missouri Perfusion Society

Application for Membership

Renewal Form

2010

 Membership status:(Please check one)

 ___General (50.00)           

 ___Sustaining (100.00)          

___Associate (non-perfusionist) (25.00)

___Perfusion Student (25.00) 

Make you check payable to: The Missouri Perfusion Society                   

 Please Print & Fill Out Completely

Name:            ___________________________________________

Address:        ___________________________________________                        

                     ___________________________________________ 

Phone:           ___________________________________________                           

Work:             ___________________________________________ 

E-Mail:           ___________________________________________  

MAIL THIS FORM PLUS YOUR CHECK TO:          

The Missouri Perfusion Society

c/o Tammy Haga-Greco, Treasurer
1081 Hawkins Bend Dr.
Fenton, MO 63026


 

 


 

 

 

The Missouri Perfusion Society

Willingness to Serve Form

2010

The Missouri Perfusion Society is served by an 11 member Board of Directors made up of Perfusionist from around the state.  These directors are volunteers.  It is important that all regions of the state be represented but more importantly is finding volunteers who will dedicate their time to our local organization.

Each director has a term that last for 3 years.  The terms are staggered to avoid changing all the directors at one time.

If you would be willing to volunteer your time and serve the society or if you have any questions please notify President Greg Weaver

Name: ___________________________________________________________

Phone Number or E-mail: ____________________________________________

Address: _________________________________________________________

Greg Weaver RN, CCP, LCP

President, Missouri Perfusion Society

gwccp@embarqmail.com

573-230-8424


 

 

 

 
   
 

Thank You