About PAMS
From the President
Board of Directors
Junior PAMS
History of the Polish American Medical Society
Past Presidents
Past Boards of Directors
Honorary Members
News
Events
Bronek Sports Club
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Calendar of Events
Member Spotlight
Students & Beneficiaries
Scholarship Program Overview
Jacek D. Rudnicki Memorial Scholarship
Scholarship Application
Scholarship Recipients
Community Award Recipients
Career Planning
Information for new Graduates
Diploma Apostille Procedure
US Residency
Contact
Membership
71st Physicians’ Ball
About PAMS
From the President
Board of Directors
Junior PAMS
History of the Polish American Medical Society
Past Presidents
Past Boards of Directors
Honorary Members
News
Events
Bronek Sports Club
Archives
Calendar of Events
Member Spotlight
Students & Beneficiaries
Scholarship Program Overview
Jacek D. Rudnicki Memorial Scholarship
Scholarship Application
Scholarship Recipients
Community Award Recipients
Career Planning
Information for new Graduates
Diploma Apostille Procedure
US Residency
Contact
Membership
71st Physicians’ Ball
Home
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pams form
pams form
Membership Application
"
*
" indicates required fields
Name
Name
Dr.
Miss
Mr.
Mrs.
Ms.
Title
First
Last
Type of Membership
You must be a Physician to be considered for a regular PAMS membership. Are You an MD, DO, DDS, DPM, DVM, MD/PhD or Medical Student?
Who i am
I am a Physician or Medical Student – Applying for a Regular Membership
I am not a Physician – Applying for an Associate Membership
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*
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*
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*
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*
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Required only for couples discount
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Yearly Membership Dues
After Submitting the form, you will be redirected to PayPal where you will pay the yearly membership dues with any major credit or debit card,
subject to 4% surcharge.
Alternatively, avoid the surcharge, and send a check.
Membership
Individual $175.00
Couples $265.00
Residents/Retired Physicians $90.00
Medical Students $50.00
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Last
Email
Name
First
Last
Email
Date
Month
Day
Year
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Private
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Price:
$175.00
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ATTENTION: if you have issues paying by credit card directly, please click “Want to pay online,” then select PayPal Checkout as a card Payment Method below, (no PayPal Account is necessary for most countries, just deselect the”create your PayPal account” button when navigating through prompts.) Otherwise, only domestic checks or Zelle will be accepted.
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Please mail your checks to: Polish American Medical Society, 1450 W Lake Street, Suite 101, Addison , IL 60101
Please send your Zelle payment to: pams@zlpchicago.org
Online Processing Fee
$0.00
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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