Membership Application

Please enter the information requested below to apply for membership. Fields marked "*" are required. When you've completed filling out the application, you can choose to either pay now or add this item to your cart and continue shopping.

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  1. 1 Member Dues
  2. 2 Basic Information
  3. 3 Demographic Information
  4. 4 Contact Information
  5. 5 Totals
Membership Dues

Dues rates are valid from January 1 - December 31, however those joining after July 1st will be pro-rated at half the annual rate. Complimentary membership with your local component medical society is included with your annual MedChi membership dues.

* Please note that residents and medical students are not designated to a component society. Resident members may choose to become a member of the Montgomery County Medical Society by selecting the fee above.

Acceptance for MedChi membership or for a particular class of membership is subject to verification that the applicant in fact meets the membership qualifications. If your qualifications for MedChi membership or the level of membership applied for cannot be verified, you will be contacted as soon as possible and, if necessary, any fees already collected will be refunded.

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