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Get NAFTNet Membership Application Form General Information Please ...

Email: Phone: Fax: Address: Status Requested: Steering Committee Annual Dues $2,000.00 (USD) Alumni Membership Annual Dues $250.00 (USD) Requested Attachments to Submit with this sheet: Publication list from all your center s providers (up to past 5 years) Society Memberships for Primary and Alternate Personal Statement Interest in NAFTNet Letter of support from NAFTNet member (optional) These will be sent to you by email: Disclosure of Conflict of Interest Form (COI) for the Primary an.

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