IOMA Membership Dues Renewal 2022-2023 - Individual Registration

Thank you for your IOMA dues payment. We appreciate your support and involvement as a member.

Are you interested in our Auto-Renew option?

IOMA is pleased to offer members a new option to pay your membership dues via our Automatic Dues Renewal service. Click on the button below and then select your membership type to start the process of setting up your automatic membership dues renewal.

To sign up for the Auto-Renew new option, click here!

If you would prefer to renew your membership one year at a time, please complete the online membership form on this page.

First Name *

Last Name *

Degree *

AOA Number

Clinic/Office Name *

Office Billing Contact Name

Office Billing Contact Email

Address *

City *

State *

Zip Code *

Phone *

Email *

Fax

Membership Type *

First Year In Practice Rates *

Second Year In Practice Rates *

Third Year In Practice Rates *

Four or More Years in Practice Rates *

DMU Faculty Rates *

Retired Member Rates *

Out of State Membership Rates *

Voluntary Contribution

Contributions, gifts, or dues paid to IOMA are not deductible as charitable contributions for federal income tax purposes. However, dues and other payments may be deductible by members as a business expense. Please consult your tax advisor.

By submitting this online form, I understand and agree that IOMA will have my contact details for the purpose of processing my information and ensuring full participation.

Payment Information

Amount

Payment Method

PayPal (no PayPal account login required)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Verification code*

IOMA Iowa Osteopathic Medical Association

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