Wufoo

Name * First Last
Degree Type *
M.D. D.O.
Membership Level *
Regular Member $350.00 Builder Member $415.00 Sustainer Member $575.00 Patriot Member $775.00 Minuteman Member $1025.00
Specialty
Year of birth
Email
Phone Number ### - ### - ####
Optional tax-deductible contribution to the American Health Legal Foundation. $ Dollars . Cents
Please enter an amount if you would like to make an optional contribution.
Auxiliary Dues
Add $10 for Auxiliary Dues
Project
AAPS dues are not deductible as a charitable contribution for federal income tax purposes, but may be partially deducted as a business expense. AAPS estimates that 10 percent of your membership dues are allocable to lobbying activities of the AAPS, and therefore are not deductible for income tax purposes.
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