ASSOCIATION OF MEDICAL DIAGNOSTICS MANUFACTURERS
About
Board
Scholarships
Contact
Members
Join
Jobs
Networking
Meetings
Meetings
Webinar Registration
Roundtables
Past Presentations
RA/QA Topics
Resources
Store
AMDM Membership Application
Thank you for your interest in an AMDM membership. Please fill out the application below and click submit. The application is typically reviewed and approved within two days. Please contact the AMDM offices at 202-617-0164 with any questions.
Thank you!
Please select the appropriate membership category:
*
Individual - $300 <br> (Membership will be under individual's name)
1-10 Employees - $300
11-100 Employees - $600
101-500 Employees - $850
500+ Employees - $1,550
Multi Sites* - $2,200
*
Indicates required field
Primary Contact
*
First
Last
Title
*
Company
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Website
*
Products or Services
*
Number of Employees
*
Membership Dues Invoice Contact
*
First
Last
Dues Contact Email Address:
*
Additional contacts to be added to the AMDM database to receive
communications and updates:
Database Contact #2 Name
*
Database Contact #2 Email
*
Database Contact #3 Name
*
Database Contact #3 Email
*
Database Contact #4 Name
*
Database Contact #4 Email
*
Database Contact #5 name
*
Database Contact #5 Email
*
If you selected a "multisite" membership
, please list the additional sites and locations below to be covered by the membership. Additional database contacts should be added in the previous section.
Company 2 name
*
Company 2 address, city, state
*
Company 3 name
*
Company 3 address city state
*
Company 4 address
*
Company 4 address city state
*
AMDM welcomes new members by:
sending an email announcement introducing the company to our Member Contacts.
Please indicate if you wish to be included or excluded from this activity.
*
Please include our company.
Please EXCLUDE our company.
Select One
(If paying by credit card, a link will be provided on the confirmation page)
*
Please Invoice
Pay with credit card
Other Comments / Other companies to be covered by a Multi-Site Membership
*
Submit Membership Application for Review
About
Board
Scholarships
Contact
Members
Join
Jobs
Networking
Meetings
Meetings
Webinar Registration
Roundtables
Past Presentations
RA/QA Topics
Resources
Store