Become a Member

MEMBERSHIP APPLICATION

Please fill out the application form below. At the bottom of the application, you will have some payment options:

• Pay your membership dues using PayPal with the incurring surcharge listed below. You will be automatically redirected to PayPal. You do not need to have a PayPal account to submit your payment.
• Use Payment by check option. Please, still submit your application. Make your check payable to The Polish American Medical Society and mail to 1450 W Lake Street, Suite 101, Addison, IL 60101. Your membership will be activated once we receive your payment.
• If you submit an application on behalf of other members associated with your business, mark Business option and list names of all the applicants.

We are a 501-c-3 organization. Your membership fee may qualify as a tax deduction as permitted by the law.