Endocrine Pathology Society

2008 Membership Form
Endocrine Pathology Society

A Companion Society of
The United States and Canadian Academy of Pathology, Inc.
The United States - Canadian Division of The International Academy of Pathology

Name:

Address:

Telephone:

Fax:

E-Mail:

All membership dues are to be paid in US dollars

Regular Membership ("Includes subscription to "Endocrine Pathology") - $133.00

The payments can be sent to:
Springer
Attn: Journal Order Dept.
P.O. Box 2485
Secaucus, NJ 07096
or
Pay by credit card over the phone with one of the Journal Customer Service Representative at
1-800-777-4643 (follow the prompts for Journal Customer Service (option #3).
or
Email your order with credit card information to Journals-ny@springer.com.

Associate Membership (No journal subscription included) US $ 50.00
To be paid ONLY by check payable to "Endocrine Pathology Society" and mailed to the Secretary-Treasurer to the address below.

Please check if new member

PRESIDENT	Vice President	SECRETARY-TREASURER
Vânia Nosé, MD, PhD Department of Pathology Brigham and Women's Hospital 75 Francis Street Boston, MA 02115 Phone: 617-732-6772 FAX: 617-566-3897 Email - vnose@partners.org	Dr. Kennichi Kakudo Department of Pathology Wakayama Medical College 811-1 Kimiidera, Wakayama City Wakayama 641-8509 JAPAN Phone: 0734-41-0635 FAX: 0734-46-4825 Email - kakudo-k@wakayama-med.ac.jp	Dr. Ronald Ghossein Department of Pathology Memorial Sloan-Kettering Cancer Center 1275 York Avenue New York, NY 10021 Phone: 212-639-2701 Fax: 212-717-3203 Email: giordano@umich.edu