New Membership Application

 

WASHINGTON ASSOCIATION MEDICAL STAFF SERVICES (WAMSS)
MEMBERSHIP APPLICATION

Dues: Dues for this year are $52.00 ($45 for the State Association, $5 for either the Eastern or Western State Chapter depending on where the member is located and a $2 online processing fee).

Fields in Bold are required.

First Name
Last Name
Phone Number (with Ext.)
Fax Number
Email Address
Note: This will be your username to login
Password
Organization
Job Title
Certifications
Mailing Address
City
State
Zip
Profile Photo
Profile Description

I REQUEST MEMBERSHIP IN THE FOLLOWING CATEGORY

Active Membership: Active members are those individuals having responsibility in medical staff or related activities (e.g. credentialing, quality, provider relations). Active members shall pay dues and have a vote and are encouraged to join the National Association Medical Staff Services (NAMSS).

Associate Membership: Associate members are those individuals interested in the overall goals and Association. Associate members shall pay dues but shall not be eligible to vote or hold office.

Chapter Membership:      Western Chapter    Eastern Chapter

NAMSS: The Washington Association Medical Staff Services (WAMSS) recruits and processes its own membership and dues independently from the National Association Medical Staff Services (NAMSS). While NAMSS membership is not a condition of WAMSS membership, it has its own benefits.

Are you a member of NAMSS?     Yes     No
If not, and if you are interested in joining, please look at NAMSS website, www.namss.org.