Student Membership PDF

To join by email, fax, or paper mail

  1. Click to open or right-click to download and save the PDF Student Membership Application
  2. Complete all fields on the form and save a copy
  3. Email completed application to
    - OR -
  4. Fax completed application to: 517-336-5797
    - OR -
  5. Print and mail the application with payment to:
    Michigan State Medical Society
    120 W. Saginaw St.
    East Lansing, MI 48823