Application

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Medical Student Members- Thank you for joining your peers!

Online payment or log-in concerns: Cassie Williams, Data Manager
MSMA MSS Membership: Haley Wansing, Membership Director
Student Information
Membership Investment Students purchasing a 4-year MSMA and AMA membership qualify for a free incentive. Contact your student section recruiter to choose from several incentive options.


The contents of this box are for testing purposes. This box will be removed when the form goes live.

**MSMA: $8/year, AMA: $17/year**

 

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  • Select additional directory categories below by holding the "CTRL" key
  • Secondary categories may be subject to additional fees
 
 
 
 
 
 
 
NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.
   
Credit Card Information

Name on Card
Security Code
Expiration Date
Address
City
State
Zip
Phone
Credit Card Email Address
Please click submit button only once.

Please select a membership type and Medical School attended before submitting your application.

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