Pediatric Cardiology Society of Greater New York
Membership Dues Invoice for 2014-2015
Institutional Membership Fee: $1250
Institutional Membership Dues entitles all individuals* from the institution to the privileges of membership in the Pediatric Cardiology Society of Greater New York. There is an additional fee for members to attend the Janet Baldwin Dinner.
Check Enclosed (payable to Pediatric Cardiology Society of Greater NY)
Credit Card (a 3% credit card fee will be charged):
rü VISA rü Mastercard rü AMEX
Name on card: ________________________________
Account #: ___________________________________
Expiration Date: ______/20____
Zip Code: _________________
Please return to Society Treasurer:
Patrick Flynn, M.D.
Weill Cornell Medical College
525 E 68th Street
New York, NY. 10065
credit card information can be emailed to email@example.com
*Includes any full time faculty, fellow, resident, nurse, physician assistant, nurse practitioner, or technologist. Please provide the names and email addresses for individuals in your institution for whom these dues apply. You may add names to this list at any time during the academic year by contacting the Society treasurer.