SACVS Membership Application Form for 2009-2010 Please Mail your dues check to: Dr T Bauch - SACVS 1222 Salazar Trl San Antonio, TX 78216 2010 Dues are: Physicians $200, Nurses/PA/CV Technicians $150, Fellows in training No charge. Checks payable to SACVS Thanks! Terry D Bauch, MD - Secretary-Treasurer

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*Preferred Mailing Address (home or office):	Home Office <Add New Choice...>
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*E-mail Reminders?:	yes no
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Category:	Private Practice Academic (UTHSCSA) Hospital Employee (non-MD\\\\\\\'s) Military Retired Other <Add New Choice...>
Position:	Cardiology Staff/Faculty Cardiothoracic Staff/Faculty Clinician-private sector RN and/or CNP and/or PA Registerd Nurse Vocational Nurse Other <Add New Choice...>
Academic Rank:	Not applicable Cardiology Fellow CV Surgical Resident Assistant Professor Associate Professor Professor Other <Add New Choice...>
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Primary Specialty:	Cardiology - Adult Cardiology - Pediatric Cardiothoracic Surgery - Adult Cardiothoracic Surgery - Pediatric Vascular Surgery Cardiovascular Anesthesiologist Cardiovascular Radiologist Internist Family Practice Research <Add New Choice...>
Secondary Specialty:	None Cardiac Imaging Cardiac Transplantation Electrophysiology Heart Failure Interventional Cardiology Prevention-Wellness Other <Add New Choice...>