SAMS Membership Application

Instructions

Welcome to SAMS! Thank you for joining our organization to make a global impact

Membership types:

Physicians, dentists, and allied Healthcare professionals: Members must be Syrians of Syrian descent and healthcare professionals in the United States or Canada.
Affiliate Members: This category is tailored for medical professionals who are not American or Syrian.
In-Training Members: This category is tailored to Syrians of Syrian descent medical residents, and healthcare students.
Friends of SAMS: This category is tailored to any individual supporting SAMS while not being a healthcare provider.

Select An Option

SAMS Membership 1 Year Price of Level Selected (Price Range: $100 - $350 Annually)

Select Level

In-Training Price of Level Selected (Price Range: $50 - $100 Annually)

Select Level

Friend of SAMS $50 Annually

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

Family NameBusiness Name

Please select a valid membership option and fee item if exist