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Membership Dues

Dues notices are mailed to your home each year in June. Medical Staff Membership is valid from July 1st through June 30th of each year paid.

2005 - 2006 Fee Schedule
Attending/ Associate Attending/Provisional/Temporary $150.00
Adjunct/Consulting/Courtesy $100.00

Visa, Mastercard, or IDT payments may be paid online. Just fill-in the information below:

* Required field
* Title:
* First Name:
* Middle Name:
* Last Name:
* Department:
* email:
   
* Home Address:
Home Address:
* City:
* State:
* Zip:
* Phone:
Fax:
   
* Work Address:
Work Address:
* City:
* State:
* Zip:
* Phone:
Fax:
   
* Is this information new?
* Membership Categories:
* Amount:
     
Name as it appears on CC:
     
Credit Card Type:
CC Number:
     
Expiration Date:
      /
IDT #:
     

Payments may also be made by check or money order.
Click here to download a dues payment form
Mail to:
Ms. Anne Egan
UH Medical Staff President's Office
150 Bergen Street - F244a
Newark, NJ 07103

updated: 9/04