GSASC & SCASCA Joint Conference March 8-9, 2012 – The Westin Atlanta Perimeter North

MENU

 
 

 GSASC Membership Information

AUXILIARY/AFFILIATE Level Membership..................... $500

(Vendors, Corp. Managers or Owners)
Auxiliary membership is available to organizations or companies that are in business of providing supplies, equipment and/or services to ASCs
Download Form and Mail or Join Online Here!

FACILITY Level Membership........................................ $1250
Download Form and Mail or Join Online Here!

For more information about becoming a member please call 888-526-9450.

Online GSASC Registration
  Secure Form
Membership Type:
Name:
Company Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Payment Details:
Credit Card Type:
Secure Form
Credit Card Number:
Card Expiration:
Card Security Code:
 *This is the 3 or 4 digit code on the back of your card
Name on Card:
Billing Address:
if different than address listed above
Billing City:
Billing State:
Billing Zip Code:
   
 

   
How To Contact GSASC:

Please contact the GSASC Office at:
GSASC 1400 Village Square Blvd, #3-175
Tallahassee, FL 32312

Toll Free Phone: 888.526.9450
Fax: 850.907.1288
©Copyright Georgia Society of Ambulatory Surgery Centers.  All Rights Reserved