first name
last name
phone
email
comments
 

WSUS

914 164th St. SE
Suite B-12 #244
Mill Creek, WA 98012
(425) 971-5822

User Name:
Password:
Remember Login:
 
Forgot your password?
 
Or, to request a login for this site, click here.
     

WSUSM MEMBERSHIP REGISTRATION FORM

WSUSM Membership is open to all Office Managers and Office Administrators of Urology Practices in the Northwest.

To  become an active member of the WSUSM Networking Group is simple.

STEP 1:  Complete the Membership Application Form

STEP 2 Return the form to Eva Samtmann, WSUSM President

Phone     (360) 848-1073                
Fax:        (360) 424-5441
Email:    e.samtmann@nwuc.net

Mail:    Eva Samtmann, Northwest Urology Clinic, 1311 E. Division St., Mount Vernon, WA 98274   

STEP 3 Make annual dues payment of $75.  

This can be made online at www.wsus.org (home page) OR send a check made payable to the WSUS and mail to WSUS 914 164th St. SE #244, Mill Creek, WA 98012.  Please reference WSUSM on the check.