Abstract
□ This is a program, which allows interested students to work with well-established practitioners. If you would consider having a preceptor program in your clinic, please check here and we will send you more information.
Payment Information
Annual dues, payable on calendar year: $145 Graduate Students dues: $72.50
□ Check or money order enclosed (payable to AAFP) in U.S. funds drawn on U.S. bank
□ Charge to:□ Visa □ MasterCard □ American Express
Card No.__________
Expiration Date __________
Print Card Holder Name __________
Note: Contributions or gifts to associations which are exempt under IRS 501 (c)6 are not tax deductible as charitable contributions. However, they may be deducted as ordinary and necessary business expenses.
If you have any questions, email us at: