Online Membership Form


* indicates a required field
*First Name:
*Last Name:
*Degree:
*Mailing Address 1:
Mailing Address 2:
Mailing Address 3:
*City:
*State:
*Postal Code:
*Country:
*Phone:
Fax:
*Email:
*Re-enter Email:
 
 
 
Membership to Begin/Renew: ,
 
*I am applying/renewing for:
Membership 1 Year  - $100.00
Resident/Student Membership 1 Year  - $0.00
Retired Membership 1 Year beginning January 1, 2008  - $0.00
Corporate Membership  - $1,000.00
Corporate Membership  - $2,000.00
Corporate Membership  - $5,000.00
Corporate Membership  - $7,500.00
Corporate Membership  - $10,000.00
 
STA is an affiliate society of the International Anesthesia Research Society (IARS) and ANESTHESIA & ANELGESIA is the official Journal of STA. Society members can elect to subscribe to A&A at a special reduced price. If you are a member of IARS you already received A&A as part of your membership.
 

Add Anesthesia & Analgesia
subscription:

ANESTHESIA & ANALGESIA subscription 1 Year  - $85.00
 
 
Method of Payment
I will pay with:
 
 
The Society for Technology in Anesthesia
6737 West Washington St., Suite 1420
Milwaukee, WI  53214
 


 
  Policies and Statments Copyright ©
STA
2008