| Completed Application Form |
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| Two
(2) Sponsor Signatures |
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| Membership in ASH for the past three (3) years |
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| Attendance at ASH Annual Scientific Meetings for at least
two (2) out of the last four (4) meetings |
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| Primary or Secondary Board Certification |
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| Designated Hypertension Specialist |
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| Application
fee of $150.00 |
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| Curriculum Vitae & Supporting Documents |
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