Membership Checkout Membership Information You have selected the Student Member membership level. Mentor Program Shadowing Opportunities Leadership Opportunities The price for membership is $25.00 per Year. Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Professional Information AOA Identification Number Maryland License Number Medical School Year of Graduation Board Certification Specialty Hospital Affiliation Do You Offer OMT? Yes No If yes, percent of practicing offering OMT: May we provide your name to current & prospective osteopathic students as a contact for information about the profession or as a resource for rotation/internship/preceptorship opportunities? Yes No Would you like to set up automatic renewals? Yes, renew at $25.00 per Year. Payment Information Card Number Expiration Date CVC Processing...
