Member Sponsor Form

Please complete this form at your earliest convenience. GTSC is unable to approve pending membership applications without a support form on file.

Your Name & Degree *
Insitution/Hospital *
Your Email *
Your Membership Type - Please note we do ask that sponsors are current on their membership dues. *

Clear Selection
Applicant Name *
Member type Applicant is applying for. *

Clear Selection
I attest that the applicant is an outstanding candidate for membership with GTSC *

Clear Selection



Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

GTSC Executive Office:
1935 County Road B2 W, Ste 165 | Roseville, MN 55113
952-646-2048    info@gtsc.org
General Thoracic Surgical Club.png
JOIN CONTACT SEARCH
visit our Facebook page visit our Twitter page
 
 
Reset password