Membership Form

Instructions

Thank you for your interest in becoming an AMEN member. We are excited to have you join us.

Membership Types:

Physician/Dentist/Optometrist ($300)
- DDS, DMD, DO, DPM, MD, OD (or internationally recognized equivalent)
Affiliate ($100)
- RN, LPN, LSW, PA, MPH, DrPH, NP, PT, OT, RD, Dental Hygienist, Psychologist, Pharmacist, or equivalent degrees issued in other jurisdictions.
Supporting Ministry ($100)
- Physician or Dentist serving in a supporting SDA ministry where they receive a ‘pastoral salary’ (such as Wildwood or Weimar).
Retiree ($100)
Pastor ($100)
- Pastor/minister working as an employee of the SDA church.
Missionary ($100)
- Physician or Dentist serving in a developing country.
Resident ($50)
- Physician/Dentist/Optometrist in a postgraduate, residency training program.

To become a member, you must be a member of the Seventh-day Adventist Church in good standing and support the mission, vision, and objectives of AMEN.

Student ($25) - All faith backgrounds are welcome to become student members.
- Currently enrolled, Medical or Dental Student – Regardless of when you join, student membership extends throughout your schooling and will expire upon graduation from medical or dental school.

Select An Option

Physician/Dentist/Optometrist $300 Annually

Affiliate $100 Annually

Missionary $100 Annually

Pastoral $100 Annually

Retiree $100 Annually

Supporting Ministry $100 Annually

Resident $50 Annually

Student

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