Dues Renewal Form - American Academy of Medical Administrators

AMERICAN ACADEMY OF MEDICAL ADMINISTRATORS

Renew Your Membership Today Online

To renew your membership, you have the following options:

Call our offices directly at 847-759-8601
Mail or Fax 847-759-8602 in your Renewal Invoice
Complete the online registration form below. Use TAB or your mouse to advance to the next field.
DO NOT HIT ENTER UNTIL READY TO SUBMIT THIS FORM.

Renewal Rates:

Member $180
Student Affiliate $25
OR Amount per invoice

If this is a new address please check below and enter your new information into the form.
New Address

Your e-mail address:
Full Name:
Title:
Organization:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
Fax:
Amount: (from invoice)
Payment Method:	VISAMCAMEX
Card Info	CC# Exp Date
You can also mail your check or credit card information to the Academyoffice. Payment may be made by check, Visa, Mastercardor American Express. Be sure to include expiration date and signature forcredit card payments. Checks should be made payable to “AAMA.” Please remit checks to: AAMA 701 Lee Street, Suite 600 Des Plaines, IL. 60016

AAMA Dues are not deductible as a charitable contribution for federal income tax purposes, butmay be partially deductible as a business expense. 0% of your AAMA dues is not deductible because of lobbying activities on behalf of our members. $10.00 of your annual AAMA membership dues includes a subscription to the AAMA Executive. This subscription is a benefit of membership and is not deductible from the annual AAMA membership dues.