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Membership Application
 
Membership in the Shock Society is available to medical professionals and students. Fill in one of the two forms below, sign and date it, and have your sponsor sign and date it. Then return the form to the Shock Society Membership Committee as indicated. 

Print either version and type or carefully handwrite your application. Do not forget to sign and date the application form.  Follow the instructions to mail the form to the Membership Committee.

 

Last updated:   May 18, 2008
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