International Membership Application

SVS International Membership Application

Eligibility: International Membership may be granted to surgeons residing outside of North America who have demonstrated knowledge and skill in the diagnosis and management of vascular disorders. To apply, your practice must be primarily dedicated to vascular surgery.

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* 1. Identifying Information

First Name: *

MI:

Last Name: *

Suffix (MD): *

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* 2. Contact Information

Institution:

Address 1: *

Address 2:

City/Town: *

State/Province:

ZIP/Postal Code:

Country: *

Email Address: *

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* 3. Please list any vascular societies in which you hold membership.

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* 4. Are you applying as part of an international chapter of the Society for Vascular Surgery?

Yes