Affiliate - Student Standard 1 Year Membership with Journal of Trauma and ATLS

Terms:

$205 / year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Organization: Organization is not valid

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Job Title:* Job Title is Required

Specialty:* Specialty is Required

Hospital:* Hospital is Required

Membership Type:* Membership Type is Required

Nurse Options: Nurse Options is not valid

Allied Health Options: Allied Health Options is not valid

Non Medical Professional Options: Non Medical Professional Options is not valid

Optional Membership Sub-Committee: Optional Membership Sub-Committee is not valid

TRISC ITNC Combined ITNC and TRISC Nil

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Cheque

If you are paying via cheque, you will receive login information once payment is received by TAC. Please send it to the following address:
PO Box 8862
Halifax, NS
B3K 5M5

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