Kentucky MGMA

KMGMA 2020 Membership Application

Basic Contact Information

First Name
Last Name
Suffix
Title
Email

Organization Information

Organization
Address
City
State
Zip
Phone
Website

Additional Information

Specialties(Hold down the Command or Control button to multi-select)
Local Chapter Member
National Member
ACMPE Member

Membership

Please choose the membership level that fits your goals and budget (see descriptions below)
Membership Type
Introductory Member - $50.00 (USD)
Subscription period: Unlimited
Membership for NEW members who meet criteria for Regular/Active Membership. No Business Partners.
Executive Member - $490.00 (USD)
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.)
MGMA Member - $10.00 (USD)
Subscription period: 1 year on: January 1st
No automatically recurring payments
Open to MGMA Members only. Includes 20% discount on non-member conference registrations plus access to KMGMA member information. Potential savings: $30+/year
Professional Member - $100.00 (USD)
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.
Student - $25.00 (USD)
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.
Business Partner - $500.00 (USD)
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.
Business Supporter - $2,500.00 (USD)
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.
Bronze Sponsor - $2,500.00 (USD)
Subscription period: Unlimited
Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure
Silver Sponsor - $5,000.00 (USD)
Subscription period: Unlimited
Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure
Gold Sponsor - $7,500.00 (USD)
Subscription period: Unlimited
Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure
Platinum Sponsor - $10,000.00 (USD)
Subscription period: Unlimited
Covers Spring and Fall Conference exhibit space, Business Partner Membership, plus other benefits from Sponsorship Brochure
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