Each member must complete the following:

1. Membership Form

2. Medical Consent Form

3. Participant Agreement, Release and Acknowledgement of Risk

4. Check for dues of $200.00 payable to Ek Kardia, Inc. (please send check to Irene Senzaki, 4009 Via Nivel, PVE, CA 90275)

(A late fee of $20.00 is added for those not received by May 1, 2008)Send all other information to the Treasurer:

Margaret De Pauw

4208 Via Nivel

Palos Verdes Estates, CA 90275

click here to email   310-375-6204