Physician Membership Application

Physician Name
First Last
Practice Name
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Office Manager
First Last
Nurse Manager
First Last
Membership Level*
- Regular Membership dues are $425 per physician per year. Regular membership is open to those individuals who practice in California or adjacent States and are either Board qualified or Board eligible in Medical Oncology, Pediatric Oncology, Radiation Oncology, Surgical Oncology, or Hematology. Members have the right to vote for the election of Directors, serve on Committees, and hold elected office; to attend membership meetings and meetings of the Board; and, to attend ANCO educational meetings and receive the Directory of Members, other publications, and participate in ANCO membership benefit programs.
- Group Membership Members in group practices are eligible for group membership discounts. The third and additional ANCO members from a group practice where all physicians join ANCO pay membership dues of $325, a 25% discount. For example, all three individuals in a three-physician group practice join ANCO. Using the group practice discount, total membership dues for the group are $1175, or $425+$425+$325, not $1275, or $425+$425+$425. Please note that this discount is only available to regular members when all physicians in a group practice join ANCO.
- Government Service Membership dues are $125. Government Service membership in ANCO is open to physicians that are employed by the Federal, State, or a local government (e.g., military) in the full-time practice of oncology or hematology.
- Retired Membership dues are $125. Retired membership in ANCO is open to physicians that are retired from the full-time practice of oncology or hematology. ANCO is a 501(c)(6) tax-exempt organization and, as such, membership dues are not a charitable deduction but may be considered a business expense.
Membership dues must be recieved for the application to be processed.

Make your check payable to the Association of Northern California Oncologists (ANCO). Mail your check to:

Association of Northern California Oncologists
4225 Solano Ave, #764,
Napa, CA 94558

Dues are based on the type of membership requested less any applicable discounts. Membership dues paid after July 1st are applied to the balance of the current year and the entire following year.
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“Being part of a multi-site private practice, we have a lot going on and I rely on ANCO for its fantastic education, CME opportunities and access to local experts at speaking engagements. ANCO also looks out for our best interests with its advocacy efforts and practice management tools. I look to them as a go-to local resource. There’s no question that ANCO membership is a great value for all it provides. I’m proud to be on the board and part of this thriving organization.”

Zachary Koontz, MD
Pacific Cancer Care

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