New Membership Application Assistant 0 By Cheryl Bailey PMAC PRAC PAAC on October 19, 2023 $125.00 New Membership Application Assistant quantity Add to cart Category: Membership Description Description ASPMA New Member Online Application Name * Podiatrist APMA# * Podiatrist Name: * Office * Address * City * State * Zip * Phone * Cell Phone * FAX * Years employed * Months Employed * Duties Performed * Clinical Administrative Both Radiology Home Address City State Zip Email Address * How did you hear about Aspma * Checkboxes * I agree The ASPMA reserves the right to revoke and/or refuse membership and certification to anyone not complying with the terms of ethics and code of conduct set forth by the ASPMA and APMA. The ASPMA also reserves the right to reinstate such statuses deemed appropriate by the Board of Directors. Payment Payment Payment Payment Month 1 2 3 4 5 6 7 8 9 10 11 12 Payment Year 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Payment Submit If you are human, leave this field blank. Δ Related products Conference registration $150.00 Add to cart
