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You can now pay your membership dues and
contribute to the research fund online. Just complete the information in this
form. Your credit and renewal information will be sent to Authorize.net a
secure server and will be processed there. Your credit card will be charged
with the applicable U.S. dollar fee listed in the dues statement you received
from the ASLMS office and any additional amount donated to the research fund.
Membership Renewal Form
Research Contribution
Every ASLMS member can invest in ongoing
research by contributing to the ASLMS Research Program.
Annual Research Contribution Levels:
● $25 - $99 –
Catalyst
● $100 - $499 –
Futurist
● $500 - $999 –
Explorer
● $1,000 - $2,499 - Innovator
● $2,500 - $4,999 –
Visionary
● $5,000+ -
Luminary
This form
resides on
a secure server, but if you prefer not to renew your membership online, please
mail your payment to: The American Society for Laser Medicine & Surgery Inc.,
2100 Stewart Avenue
Suite 240
Wausau, WI 54401.
For an explanation of Membership Categories, please see the
Member Category area of our site.
Questions about dues or the charge to your credit card should be directed to:
information@aslms.org
Individuals from countries sanctioned by the U.S.
Treasury Department's Office of Foreign Assets Control must use third-country
financial institutions as intermediaries for all payments to the American
Society for Laser Medicine and Surgery. |