2010 Annual Meeting Information
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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! |
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| 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
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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 |
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