Online Membership Application

Radiation Therapists of Wisconsin

Online Membership Application

Welcome to the online membership form. Please fill out the entire form, and then continue to payment. All payments are facilitated trhough PayPal, but you do not need a PayPal account to use this service. You can also pay with Visa or Mastercard. There will be a $1 convenience fee added.

Membership On-time Late
Active $30 $42
Associate $30 $42
Inactive $30 $42
Retired $20 $32
Student $20 N/A
If you are having problems with the form or payment, please contact Amy Heath at aheath@uwhealth.org.

Contact information:

First name:

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Last name:

Credentials:

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Email address:

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Name of Employer:

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Mailing Address (WORK):

Work Phone:

Home/Cell Phone:

Home Address:

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Member Information

Type of Membership:

Primary Focus:

Best way to contact you (Select all that apply by using the control key):

Do you wish to be included in the Public membership directory (published on this site)?

Article 3A: Qualifications of Members:

1. Active members shall be any RTT’s and RTR’s currently employed in a hospital or clinic based radiation oncology department on a full or part time basis.

2. Student Members shall be those students who are enrolled in an approved RTT or Dosimetry training program. Eligibility for this category shall terminate on the conclusion of or discontinuation of such training. Student members shall have privileges and obligations of members except the right to hold office and vote.

3. Retired members shall be those persons 55 years of age or older who are formally retired from an active radiation oncology setting. Retired members shall have all the privileges of membership extended by the society.

4. Associate members shall be those persons not eligible for active membership and shall have privileges except those of introducing motions, voting, serving on committees and holding office.

5. Inactive: Any RTT or RTR not currently employed in a hospital or clinic based Radiation oncology department. Inactive members can hold office, have the same rights and privileges as active members and pay the same dues as active members.