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. *

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Applicant Name *
Member type Applicant is applying for. *

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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
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