UTCSP membership registration 

 
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1. Membership Type
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2. Last Name
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3. First Name
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4. Title/Degrees
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5. University
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6. Principal Faculty
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7. Principal Department/Program
8. Supervisor (for Trainees)
9. Principal Hospital Appointment(s)
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10. Mailing Address
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11. Telephone Number
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12. E-mail Address
13. Website URL
14. Biography (150 words max)
15. Key Publications (top 5 in last 3 years)
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