2019 Member Application Page

PAMS Membership Application


Please fill out the application form below. After submitting the form and it’s approval,  you’ll be directed to our membership selection page where you will pay the yearly membership dues with any major Credit Card (Note: there will be a 4% surcharge) or by using your PayPal account. If you’d like to avoid the surcharge and send a check, please download the application form and mail your yearly membership dues to Dr. Adam Cios, M.D., Treasurer of the PAMS, at the following address: 6438 N.Central Ave, Chicago IL 60646.

[wpmem_form register]

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