Membership Form
Please click here to open the form and print it using the file- print option on your browser.
Amount ($50 for one year, $500 for lifetime, free membership for residents and fellows, payable by Credit/Debit Card):
Print the form using the file- print option on your browser. Please print and save a copy for your record. Mail the form with your check to:
Rajal Shah, M.D.
1812 Kings Isle Dr
Plano, Texas 75093
USA
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