Osteopathic Foundation of West Michigan
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WMOA 2023 Membership Dues
Membership Fees
$200 Annual Membership - Renew/Join before April 15, 2023
$250 Annual Membership - Renew/Join after April 15, 2023
$0 Honorary Member (Member for 25 years and >70 years old)
Amount
*
Quantity
$200
-
Before April 15, 2023
0
1
2
3
4
5
6
7
8
9
10
10
$250
-
After April 15, 2023
0
1
2
3
4
5
6
7
8
9
10
10
$0
-
Honorary Member
0
1
2
3
4
5
6
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 #
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