Skip to content
Pay my dues
Donate Now
Member Directory
Classified Ads
ENG
Login / Registration
Home
About Us
AAMS Leadership
Mission Statement
AAMS History
Who We Are
“Your Health”
TV Program Archive
Join AAMS
Our Projects
Webinars
Events and News
Events
Latest News
Student Resources
Scholarship
Mentoriship
Internship
Contact Us
Student Resources
Donate Now
Media Gallery
Contact us
Menu
Home
About Us
AAMS Leadership
Mission Statement
AAMS History
Who We Are
“Your Health”
TV Program Archive
Join AAMS
Our Projects
Webinars
Events and News
Events
Latest News
Student Resources
Scholarship
Mentoriship
Internship
Contact Us
Student Resources
Donate Now
Media Gallery
Contact us
Associate Member Application
Product Name
Personal Details
First Name
*
Last Name
*
Title (MD, PharmD, RN, etc…)
*
Specialties
*
Valid license to practice in your state
Yes
No
Board Certified In
Board Eligible In
Dental License Number
Medical License Number
Hospital Affiliations
Hospital Affiliations Active
Active
Retired
Private Details
Spouse's Name
Home Address
City
State
Zip Code
Phone Number
*
Email Address
*
Education Details
Undergraduate Education
*
Undergraduate Degree
*
Undergraduate Year
*
Postgraduate Education
*
Postgraduate Degree
*
Postgraduate Year
*
Residency
*
Residency Year of Completion
*
Fellowship
*
Fellowship Year of Completion
*
Postgraduate Training
Professional References
List of Professional References
Professional Reference
Phone Number
Professional Practice(s)
List of Professional Practices
Company
Address
City
State
Zip Code
Phone Number
Fax Number
Email Address
Website
Optional
Academic Position Held
Will you be interested in being a lecturer for AAMS Educational and CME meetings?
Yes
No
Receive Correspondence?
Home
Office
Will you be interested in mentoring a healthcare student?
Yes
No
AAMS' "Your Health" TV Program
Would you like to be a guest on AAMS’ “Your Health” TV program?
Yes
No
Armenian Language Proficiency
Native
Fluent
Conversational
Basic
Visit
https://aamsc.org/tv-programs/
for more information.
Payment Details
Membership Total
$0.00
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Expiration Date
Security Code
Cardholder Name
Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
I hereby authorize the Armenian American Medical Society (AAMS) to automatically charge my credit card on the first of every new year.
CAPTCHA
Home
About Us
AAMS Leadership
Mission Statement
AAMS History
Who We Are
“Your Health” TV Program Archive
Join AAMS
Our Projects
Webinars
Events and News
Events
Latest News
Student Resources
Scholarship
Mentoriship
Internship
Contact Us
Donate Now
Media Gallery
Contact us
Login / Registration