Become A Member

The AAWP offers online payment of membership dues, dues renewals and donations to the AAWP. However, if you prefer, you may instead obtain the AAWP membership application (for either a renewal or new membership), by clicking here. Please print the application, complete it, and mail it with your payment (chedcks made payable to  AAWP) to:

Elizabeth Bass Daughtry, DPM, Treasurer
700 Tilghman Dr. Ste. 722
Dunn, NC 28334

OR, you may pay online securely with your credit card or PayPal account. This convenient, safe and secure payment process is processed through PayPal, the global leader in online payment processing. If you choose to pay online, please complete all information requested below and click the submit button. Thank you for your membership in the American Association of Women Podiatrists.

Name*:
APMA Number*:
 Note: APMA membership is required
Practice Name*:
Practice Address*:
City/State*:   
Zip Code*:
Work Phone*:
Fax:
Web Site Address*:
E-mail*:
Home Address*:
City/State*:   
Zip Code*:
Preferred Mailing Address *:

Office
Home

College of Podiatric Medicine*:
Year Graduated*:
Are you a Resident?*

Yes No

Is this a renewal of your AAWP membership?*

Yes No

If Yes, Enter Year Joined AAWP*:
Select Membership Term *:

One Year Membership $100.00
Two Year Membership $180.00
Associate Member (first year practitioner) One Year Membership $30.00

Interested in Lecturing
at a Future Meeting?:

Yes
No

Topic:

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American Association for Women Podiatrists, Inc.
Elizabeth Bass Daughtry, DPM, Treasurer
700 Tilghman Dr. Ste. 722
Dunn, NC 28334
office@americanwomenpodiatrists.com

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