Dues Renewal


Thank you for renewing your membership in the North Pacific Pediatric Society and for recognizing the importance of supporting your local pediatrics community. Your continued participation and financial support is essential as we continually strive to strengthen our organization.

Contact Information

Name:
Title:
Practice/Group Name:
Address:
Phone:
-
E-mail:*

Membership Dues

Active membership
Open to any medical or osteopathic physician in good standing whose practice is limited to pediatrics, and who promotes or otherwise supports the purposes of the Society. Active members shall be required to pay dues and shall be entitled to vote and hold office.

Associate membership
Open to any medical or osteopathic physician in good standing whose practice is especially interested in pediatrics, but not necessarily confined to pediatrics, and who promotes or otherwise supports the purposes of the Society. Associate members shall be required to pay dues and shall be entitled to vote and to hold office.

Affiliate membership
Open to any Medex or Nurse Practitioner whose practice has a significant focus in pediatrics, but not necessarily confined to pediatrics, and who promotes or otherwise supports the purposes of the Society. Affiliate members shall be required to pay dues and shall be entitled to vote, but shall not be entitled to hold office.

Membership Dues - $100:*

Community Support Fund (Optional)

NPPS Community Fund Donation:
NPPS Community Fund Donation - Other amount:
 $ 

Total Payment

Total:
Please verify:

Upon completing the form and clicking "submit," if any funds are due to complete the application for membership, you will be directed to PayPal to make the payment.



INQUIRIES
Contact Darla White, Association Executive, at the NPPS office at 206-956-3642 or email ddw@wsma.org