Osteopathic Foundation of West Michigan
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WMOA Membership Dues 2024
Membership Fees
$250 Annual Membership - Renew/Join after April 15, 2024
$0 Honorary Member (Member for 25 years and >70 years old)
Amount
*
Quantity
$250
-
After April 15, 2024
0
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4
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8
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10
10
$0
-
Honorary Member
0
1
2
3
4
5
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7
8
9
10
10
Renewal Date
(mm/dd/yyyy)
Membership Category
select one
Osteopathic Member (D.O.)
Honorary Member
Associate Member (M.D. or other provider)
Contact Information
Full Name and Credential
*
Prefix
First Name
Last Name
Suffix
Preferred Email
*
Verify Email
*
Preferred Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
AOA #
Optional: Add 3% to my total amount to help cover the payment processing fees