Pay Dues Online

Basic dues are as follows and include listing in the roster and on the web site. Basic dues require an email address so that all communications can be sent electronically.

$200.00 – Regular, Affiliate, and Associate members
$50.00 - Physicians in Training in the Atlanta area
No dues - Lifetime members, Honorary members and physicians in training outside the Atlanta area.

IMPORTANT!!

You may pay your dues securely online with a credit card OR via check by submitting the form below.
Please use this form for ALL FORMS OF PAYMENT.
When you click "Continue", you will be taken to a secure site to complete your transaction.
Your transaction is complete when the system produces an order confirmation number. If paying by check, print that confirmation page to mail with your check.
Print an additional copy for your records if desired.
If you would like to pay for more than one physician's dues, simply click "Continue Shopping" to return to this page to enter a different Member Name.

Member Level:	Regular, Affiliate or Associate Member - $200 Physcians in training in the Atlanta area - $50
Member Name:

	Paying by Credit Card
Name on Credit Card:
Billing Phone #:
	Paying by Check
	Please send check to: Atlanta Assocation for Dermatology and Dermatologic Surgery 6134 Poplar Bluff Circle, Suite 101 Norcross, GA 30082