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WORLD SOCIETY OF THE
ABDOMINAL COMPARTMENT SYNDROME

WSACS Membership Application

The World Society of the Abdominal Compartment Syndrome (WSACS) welcomes all who have an interest in Intra-Abdominal Hypertension and Abdominal Compartment Syndrome. Membership dues are 50 euros per year. Members have access to the password-protected areas of the WSACS website and receive discounts on WCACS registration and WSACS bookstore purchases.

There are two categories of membership:

Please complete this form to become a member of the World Society of the Abdominal Compartment Syndrome via our secure-server website.

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MEMBERSHIP INFORMATION
Membership Type
Last Name
First Name
Middle Initial
Degree
Email Address
Title
Institution / Corporation Name
Address
City
State
Country
Zip / Postal Code
Telephone
Fax
Username (6-15 characters; case sensitive)
Password (5-8 characters; case sensitive)

CREDIT CARD INFORMATION
Please note that this is a secure SSL-encoded transmission.
Your credit card will be charged 50 euros for a one-year membership (dues are payable on 1 January each year)
Credit Card Holder Name (as it appears on card)
Credit Card Type
Credit Card Number
CVS Code (3 or 4 digit security code)
Expiration Date