Required fields are noted in bold.
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Please check all that apply for continuing education purposes:
Name of Employer/School:
Number of years with current employer:
Number of years in Orthopaedics:
Are you a current member of NAOT State/Local Association?
If yes, name of association:
Please check category for membership for which you are applying.
Full Member – $100/year
Student/Associate Member – $30/year
Military Member – $50/year
Please enter the billing address that is on record for this credit card.
If it is the same as the name and address above, please mark the checkbox and leave these fields empty.
Use the same address as above.
When you click Review Application you will be presented with a review of your information along with the total amount to be charged.
Your application will not be confirmed until you click Submit Application on the next page.