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Basic Contact Information
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First Name | |
Last Name | |
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Title | |
Email | |
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Organization Information
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Organization | |
Address | |
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Phone | |
Website | |
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Additional Information
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Specialties | (Hold down the Command or Control button to multi-select) |
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Local Chapter Member | |
National Member | |
ACMPE Member | |
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Membership
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Please choose the membership level that fits your goals and budget (see descriptions below)
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Membership Type | |
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Introductory Member - $75.00 (USD)
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| Subscription period: valid only for 1st year of membership |
| Membership for NEW members who meet criteria for Regular/Active Membership. No Business Partners. |
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Executive Member - $490.00 (USD)
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| Subscription period: 1 year on: January 1st |
| No automatically recurring payments |
| Includes all membership rights of Professional member AND registration to both Spring and Fall Conferences. (The conference registration may be transferred to another executive in the medical practice.) |
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Professional Member - $125.00 (USD)
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| Subscription period: 1 year on: January 1st |
| Your membership renewal date will be 01/01/2021 |
| No automatically recurring payments |
| Individual in an executive capacity of the administrative staff and who participates in the business affairs of a group practice or a solo practice and is otherwise eligible for membership in the national Medical Group Management Association. |
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Student - $25.00 (USD)
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| Subscription period: 1 year on: January 1st |
| No automatically recurring payments |
| A Student Member must be enrolled full-time in a Health Care related major. |
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Business Partner - $600.00 (USD)
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| Subscription period: 1 year on: January 1st |
| Your membership renewal date will be 01/01/2021 |
| No automatically recurring payments |
| Membership only - does not include conference registration or membership mailings. A Business Partner may be a person or organization that is interested in marketing products and/or services to medical group practices. |
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Business Supporter - $2,500.00 (USD)
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| Subscription period: 1 year on: January 1st |
| No automatically recurring payments |
| Includes one year members, exhibits at both Spring and Fall Conferences and up to two mailings to KMGMA members by KMGMA. |
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Bronze Sponsor - $2,500.00 (USD)
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| Subscription period: Unlimited |
| Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure |
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Silver Sponsor - $5,000.00 (USD)
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| Subscription period: Unlimited |
| Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure |
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Gold Sponsor - $7,500.00 (USD)
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| Subscription period: Unlimited |
| Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure |
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Platinum Sponsor - $10,000.00 (USD)
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| Subscription period: Unlimited |
| Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure |