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First Name
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Active (Annual Charges: $250)
Associate (Annual Charges: $125)
Junior (Annual Charges: $50)
Affiliate (Annual Charges: $100)
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referring SVIN member (if applicable)
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Physician
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choose all that apply
Physician Type
Interventional Neurologist
Interventional Neuroradiologist
Endovascular Neurosurgeon
Interventional Radiologist
Interventional Cardiologist
Endovascular and Vascular Surgeon
Vascular Neurologist
General Neurologist
Neuro intensivist/Neuro Critical Care Specialist
Neuroimaging specialist
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for PHYSICIANS only; choose all that apply
Fellow Type
Neurointerventional
Vascular Neurology
Neuro-critical Care
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for FELLOWS only; choose all that apply
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