Join the AMA Alliance

Join the AMA Alliance

The Alliance is the conduit that not only plugs members into knowledge, resources and opportunity, but also helps them conveniently and personally advocate on behalf of their future, the future of medicine and the interest of the family of medicine in health care reform. Join us and add your voice to ours on behalf of the future we will share.

AMA Alliance membership dues are $40 per year for physician spouses and physicians; $10 per year for resident physicians, resident physician spouses, medical students, and medical student spouses.

All physicians (must be an AMA member) and physicians' spouses are welcome in the AMA Alliance. To join, complete the membership application below and begin to enjoy the benefits of belonging to the only national organization representing the family of medicine today.

Residents of Illinois, Oklahoma and Texas must go through the state Alliance to join. Please call the AMA Alliance at (312) 464-4470 for more information about joining if you live in Illinois, Oklahoma or Texas.

All information submitted through this form is secure. Please fill out all required fields before submitting the form.

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*Member classification:

Physician spouse $40

Physician $40

Medical student $10

Medical student spouse $10

Resident physician $10

Resident physician spouse $10

*Name:

*Address:

*City:

*State:
AL AK AZ AR AS CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND CM OH OK OR PA PR RI SC SD TN TT TX UT VT VA VI WA WV WI WY

*Zip:

*Phone:

*E-mail:

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*County of residence:

*County Alliance affliation:

*Spouse's name:

*Spouse's specialty:

Physician's Medical Education (ME) number (for physician members only):

*Name on Credit Card

*Credit Card #

*Expiration Date
/ (mm/yy)

*Type
Visa Master Card

*CID
(What's this)

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