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Membership Registration
 
To register for membership to Chicago Society of Echocardiography, you can either:
 
  • Fill the paper form and mail your check for appropriate payment to the address listed on the form.
    OR
     
  • Submit below online registration form. After submission of the registration, you will be automatically redirected to pay your membership dues online.
     
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    Membership Online Registration Form

     
       
  • Name*:
    Credentials:
    MD DO PhD RDCS DRMS RVT
    Other   
    Address*:
    Email Address*:
    Phone*:
    ( xxx-xxx-xxxx )
    Fax:
    Hospital Affiliation:
    Membership Type:
    Please select one below.
    Physician CSECHO Membership plus up to 18 hours AMA Category 1 CME
        ($69/year summer special - regularly $85/year)
    Cardiology Fellow CSECHO Membership
        ($49/year summer special - regularly $60/year)
    Sonographer CSECHO Membership plus up to 18 hours SDMS CEUs ($40/year)
    Sonographer Student CSECHO Membership ($30/year)
    Cardiologists or Sonographers wanting SDMS CME credit must complete one of the following:

    License#:
    Registration#: 
    Date of Birth:
    Number of years registering:
    Please select one below.
    1 year
    2 years
    3 years


     

     
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