Student Membership Application
PLEASE NOTE:
To qualify as a student member of the ISMS, you must be currently enrolled in an Illinois medical school or are an Illinois resident enrolled in an approved medical school within the boundaries of the United States, are of good moral character, and professional and academic standing.
ISMS Dues (complimentary) |
ISMS membership is complimentary for Students throughout the duration of their training. | ||
IMPAC Contribution (suggested/optional) |
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This is a voluntary contribution for the Illinois Medical Political Action Committee. For more information, click here. |
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AMA Contribution (optional) |
4 year AMA membership select my FREE incentive: |
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I understand that any false or misleading statement made on my application may be grounds for denial of membership or probation or censure by, or suspension or expulsion from the medical society(ies).
The foregoing information is true and complete.
Illinois State Medical Society (ISMS)
The Illinois State Medical Society (ISMS) is currently experiencing difficulty accepting credit card and ACH payments. Please call the ISMS Membership Department at (312) 782-1654, extension 1900 to provide a method of payment over the telephone for your membership. Your request for ISMS membership will not be processed until we receive this information.
We appreciate your patience and apologize for any inconvenience this may have caused.
Applicant ID | ||
Full Name | ||
Street Address | ||
Apt., Bldg., Ste. | ||
City, State, Zip |
ISMS Dues | Complimentary | > |
IMPAC Contribution | ||
AMA Contribution | ||
AMA Free Incentive | ||
Free Scrub | ||
Bonus Item |
Your ISMS membership application has been submitted.
This application will take 2 business days to process.
If you have any questions, please contact the ISMS Membership Services Department at (312) 782-1654, extension 1900.
Return to the ISMS home page.Your ISMS membership application has been submitted.
Thank you for joining the Illinois State Medical Society. Your Member ID is: . With your new membership you now have access to a wide range of member's only resources available at www.isms.org.
Within 2 business days, you will receive an email with instructions on how to activate your account and take immediate advantage of member only content and member discounts the ISMS Education Center.
If you require any assistance please email us at onlinehelp@isms.org or contact the ISMS Membership Services Department at (312) 782-1654, extension 1900.
Thank you for your membership!
Payment Confirmation
Illinois State Medical Society | |
Date/Time: | |
Member ID: | |
Transaction Amount: | |
Transaction Type: | |
Status: | Pending |
Billing Information | |
Full Name: | |
Address: |