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SSEP INDIVIDUAL & ASSOCIATE MEMBERSHIP PROGRAMS SSEP INDIVIDUAL MEMBERSHIP Being a Leader in Taking Diabetes and Pregnancy Guidelines Across the Nation |
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Name ______________________________________________________________________ |
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Affiliation______________________________________________________________________ |
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Address_______________________________________________________________________ |
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City, State, Zip_______________________________________________________________ |
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Phone__________________________ |
Fax____________________________ |
Email__________________________ |
Type of membership: _____ Associate _____ Individual member |
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Sweet Success Individual Membership - $ 55.00 a year with the following benefits:
Make checks payable to: SSEP And mail to: P. O. Box 9705 Fountain Valley, CA 92728-9705 |
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Visa, MasterCard and JCB accepted Card # ____________________________ Expiration Date ________________ Name _______________________________Signature____________________________________ For more information or questions email us or phone/fax 714.968.0735 |
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ASSOCIATE PROGRAM MEMBERSHIP Sweet Success Associate Program Membership (States other than CA) - $1,000.00 Annual Association Fee – Diabetes and Pregnancy Programs providing interdisciplinary team care
Free Association Packets available upon request Sweet Success Affiliate Program Membership (CA only) - Available only through Regional California Diabetes and Pregnancy Programs. Call 714-968-0735 for the Regional program in your area. |
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| For more information or questions about our products, email us or phone/fax 714.968.0735 | |
| Last Updated on 02/15/06 | |
| Email: ssep1@verizon.net |
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