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Online Membership Application

Please indicate the level at which you would like to support CCMSA and complete the 2018-2019 application.

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Select membership level

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* Membership level

Associate Member (Spouses of retired, disabled, or deceased physician) - $25.00 (USD) Subscription period: 1 year, on: September 1st No automatically recurring payments

Local - $50.00 (USD) Subscription period: 1 year, on: September 1st No automatically recurring payments

Local + State - $85.00 (USD) Subscription period: 1 year, on: September 1st No automatically recurring payments

Local + State + National Dues - $150.00 (USD) Subscription period: 1 year, on: September 1st No automatically recurring payments