PVASS Membership Sign Up Form
Please complete this form to sign up as a member of PVASS and receive communications from us regarding upcoming events and items of interest!
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Email *
First Name *
Last Name *
Where do you live? *
Are you a pre-vocational Doctor in Training (DiT)? (i.e. you are at least at the level of an intern doctor and have not gained entry onto a specialty training program) *
Why are you joining PVASS?
Any suggestions for PVASS?
What is your preferred surgical specialty? *
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