Wilderness Medical Society
Membership Application

Membership Categories & Dues

	Doctoral - $160/year Individuals who possess medical or academic doctoral degrees (MD, DO, PhD, DDS, DVM or equivalent) and are interested in promoting healthcare, education, and research related to wilderness medicine. Includes Journal & Magazine (Online and/or Mail)
	Pay 4 years and receive 5th year free.
	Doctoral (Non-North America) - $100/year Individuals outside of the United States, Canada, and Mexico can access to the journal online only and not receive the print addition. If non-North-American individuals want the print editions, they should sign up for the regular doctoral rate. This is for individuals who possess medical or academic doctoral degrees (MD, DO, PhD, DDS, DVM or equivalent) and are interested in promoting healthcare, education, and research related to wilderness medicine. Includes Journal & Magazine (Online Only)
	Non-Doctoral - $100/year Individuals who do not have doctoral degrees, but have professional expertise, education or a general interest in promoting healthcare, education, and research related to wilderness medicine. Includes Journal & Magazine (Online and/or Mail)
	Pay 4 years and receive 5th year free.
	Non-Doctoral (Non-North America) - $75/year Individuals outside of the United States, Canada, and Mexico can access to the journal online only and not receive the print addition. If non-North-American individuals want the print editions, they should sign up for the regular doctoral rate. For individuals who do not have doctoral degrees, but have professional expertise, education or a general interest in promoting healthcare, education, and research related to wilderness medicine. Includes Journal & Magazine (Online Only)
	Resident - $75/year Individuals enrolled in an accredited residency training program who are interested in promoting healthcare, education, and research related to wilderness medicine. Includes Journal & Magazine (Online and/or Mail)
	Student - $50/year Individuals enrolled in an accredited medical education program who are interested in promoting healthcare, education, and research related to wilderness medicine. Includes a print-and-online subscription to the magazine and an online-only subscription to Wilderness and Environmental Medicine, the Official Publication of the WMS. Includes Magazine (Online and/or Mail) Institution: Adviser: Adviser Phone/Email:
	4 years - $175
	Friend of the WMS - $55/year Includes Magazine (Online and/or Mail)
	Corporate Member - $1200/year Businesses or organizations that would like to help support the Society’s efforts. Includes Journal & Magazine (Online and/or Mail)
	Life Member - $2500 Includes Journal & Magazine (Online and/or Mail)
Academy of Wilderness Medicine:
	Become a Fellow Candidate - $95

Information :

Prefix:	(eg, "Dr." or "Ms.")
First:		Middle:
Last:
Suffix:	(eg, "II" or "Jr.")
Credentials:	(eg, "MD")
Company:
Job Title:
Address1:
Address2:
Address3:
City:
State, Zip:
Country:
Office Phone:
Home Phone:
Fax:
Email:
Specialty:

This form may be printed and mailed with a check for the membership fee to:

Wilderness Medical Society
2150 South 1300 East, Suite 500
Salt Lake City, UT 84106

Make checks (U.S. Funds) payable to: Wilderness Medical Society.

 

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