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We want to hear from you! Please take a few moments to complete this survey and help us serve you better.
First Name
*
Last Name
*
Email Address
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Cell Phone Number
CC or Personal Email Address
Mailing Address Line 1
Mailing Address Line 2
City
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State/Province
*
Zip or Postal Code
What topics would interest you to be presented at the next annual meeting?
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Please let us know your membership experience feedback. I.E. great to see colleagues, need to learn more, would like to volunteer for council or let us know your best memory of the society.
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Do you want to change your membership status?
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Retired
Inactive
No
If you are wanting to be considered an inactive member and unsubscribed from communication please let us know the reason below:
Thank you for your time.
Questions?
pnwvascular@gmail.com
DIRECT: 360-420-6906