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NAAMA Membership Enrollment Form

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Email will be used to confirm your enrollment
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I affirm that I hold an active license or equivalent credentials to practice my specialty or am a student in good standing.
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I affirm that I have not been engaged in any unprofessional, unethical or illegal activities and there are no disciplinary actions that I know of that are pending against me.
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Please click submit to pay using credit/ debit card. if you want to pay by check, please press submit and send your check to : 2265 Livernois Rd. Suite 720 Troy, MI 48083

Your membership will not be active until we receive your payment