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AAMAS Online Membership Application

AAMAS has two types of memberships: Individual membership and Corporate membership.

Individual membership

Please complete out the online form below and submit the application. Note: those who are 65+ qualify for the retired membership rate. Should you need payment made by a third party, you are welcome to print the form once completed. A print friendly icon is located to in the upper right, above the form.

Corporate membership

A Corporate membership is only available to 3 or more employees from the same organization by downloading the Corporate membership application and mailing it to the AAMAS corporate office.

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Membership *

Individual - $ 150.00

Retired - $ 100.00

Total Amount

Email Address *

Name and Address

Individual Prefix

First Name *

Middle Name

Last Name *

Individual Suffix

Job Title *

Current Employer *

If self employed, indicate above

Street Address (Home) *

Supplemental Address 1

City *

State *

Postal Code *

Country

Phone and Extension *

Alternate Phone

Credit Card Information

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

American Association of Medical Audit Specialists

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AAMAS Online Membership Application

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AAMAS Online Membership Application

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