MEMBERSHIP FORM

Membership Information

FOUNDING MEMBERSHIP - $1,000

 

SUSTAINING MEMBERSHIP - $500

 

BASIC MEMBERSHIPS:

DENTIST/PHYSICIAN - $225

1ST 2 YEARS IN PRACTICE - $100

MEDICAL RESIDENT/FELLOW - $75

ALLIED HEALTHCARE PROFESSIONAL - $75

MINISTRY DONOR - $50

ORGANIZATIONAL MEMBER - $500

 

RETIRED MEMBERS WITH DUES REDUCTION #1 - $150

RETIRED MEMBERS WITH DUES REDUCTION #2 - $100

RETIRED MEMBERS WITH DUES REDUCTION #3 - $  50

 

ACTIVE/INACTIVE MISSIONARY - FREE MEMBERSHIP

 

ACTIVE HEALTHCARE STUDENT - FREE MEMBERSHIP

 

 

MEMBERSHIP YEAR IS FROM JULY 1 THROUGH THE FOLLOWING JUNE 30.

LIVE OUTSIDE THE US? PLEASE EMAIL bmdf@bmdf.org FOR OUR INTERNATIONAL DUES SCHEDULE.

 

FIELDS MARKED WITH AN ASTERICK * ARE REQUIRED.

 

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