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2010 HFSA Membership Application
Annual Dues
Annual Dues are $200.00 for Full Voting Membership and $60.00 Trainee
(Trainee membership is open to individuals enrolled as full-time medical students,
residents, fellows, and undergraduate students, and pre/post-doctoral trainees.
A letter of verification, including the end of training date, from the training program director is required with payment of dues).
Download the Membership Application
Download a 2010 membership form. (PDF 238 KB)
You are invited to review the
benefits of membership.
Completing the Membership Application
Once the application has been opened in Adobe Acrobat Reader, the form
can be completed using the "tab" key on your computer. Each time the
tab key is hit the cursor will advance to the next field requesting information.
Once all information has been entered, print the form immediately and fax to the
HFSA office at 651-642-1502.
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