Membership

Membership in NECCA

Membership in NECCA is open to all physicians specializing in pediatric cardiology, pediatric cardiac anesthesia or intensive care, congenital heart surgery, or adult congenital heart disease. We are opening our membership to trainees and the dues will be waived for our fellows in training.

Fill out the Membership Registration form below to become a member. After completion of the registration form below, dues can either be paid on-line through paypal or checks can be sent to:
NECCA
111 Ford Road
Sudbury, MA 01776

****Pending our next Executive Board meeting on Monday, February 3rd, 2014, there may be an adjustment to the membership dues for the upcoming year. We will also be considering an adjustment of the membership ‘year’ to coincide with the fiscal years of numerous hospitals in the region. Please contact us at info@nehearts.com for any questions.****



You do not need to create a paypal account to submit payment. There is an option to pay one time directly with a credit card. If you receive a message saying that the payment is not accepted, you can try again a few hours later or the next morning. It is an issue with Paypal. The Paypal website security has had difficulties with users utilizing Google Chrome and mobile devices. You can also contact Paypal at paypal.com or 888-221-1161.




Registration







Membership Registration Form

Fill in the information below to register with NECCA.

Username:
First Name:
Last Name:
Hospital:
Address:
City:
State:
Zip:
E-mail:
Business Phone Number:
How would you classify your cardiology practice? Select the one area that most closely resembles your daily practice.
Please select all of the areas of cardiology that are included in your daily practice:






















What year did you complete your training?
At what hospital did you complete your training?
Are you currently or have you recently been involved in any research projects?

If yes, please describe what area your project focuses on:
Are you currently involved in any advocacy projects?

If yes, what area of advocacy that interests you?
Do you serve on any committees or hold leadership positions in any other professional organization?

If yes, which organization and what position do you hold?
What NECCA sub-committee would you be interested in contributing to or participating in?





Are there specific topics that you would be interested in learning more about in the form of a CME course?
Password (twice):
Password has to be at least 8 characters long and must not contain spaces