1) Please complete the Membership Application online 

2) Submit the application on line or print this completed application.

3) Mail a check payable to IMASC at the following address:

    IMASC Membership Drive

    P.O.Box 6765

    Orange CA 92863

    (You must enclose printed application if not submitted online)

 

Please note that IMASC is a nonprofit organization and the membership dues are fully tax deductible.

Our Non-Profit Tax Exempt ID is 330044199.

 

1. Individual Life Membership: $1000   *SPECIAL*: $500 -- Offer Expires: 6/30/10
2. Joint Physician Couple Life Membership: $1500  *SPECIAL*: $750 -- Offer Expires: 6/30/10
3. Spouse Life Membership: $500 
4. Annual Membership: $125.

5.Medical Students, Residents and Fellows Membership: Free (with proof of ID)