Society dues are a reasonable $200 annually, $75 of which goes to support our lobbyist and $25 to GynPAC (Political Action Committee). This low fee is possible due to the wide support of over 850 OB/Gyns throughout Georgia.


Fields Member's Name, Office Address, City, Office Phone and E-mail are oligatory

Dues

Member's Name :


Spouses's Name :


Company Name :


Office Address :


City :


State : Zip :


Office Phone : Office Fax :


E-mail :


Primary Specialty :


Medical License No :


Residency : Yrs :


Home Phone : Date of Birth :


ABOG Diplomate :

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ACOG Membership :