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(application also available for download in pdf format)

Part I
Name (first/middle/last):
Practice Name:
Preferred Mailing Address:
City: State: Zipcode:
Work phone: Home phone: Fax:
Email Address:
Specialty (if any):
Advocacy/Committee Interest:

AAP-CA3 Categories of Chapter Membership
(Required)
National AAP membership is a separate fee and is encouraged, but not required.

Fellow (Physician who is FAAP-designated) -- Dues: $145
Military dual Membership (Contact Chapter about rebate) -- Dues: $145
Specialty Fellow (AAP member certified by boards of another medical society) -- Dues: $145
Chapter Affiliate (Physicians, non-FAAP, non-board certified in Pediatrics, Pediatric Dentists and Child Psychiatrists) -- Dues: $145
Candidate Fellow (Limited to 4-year period post-residency for members of AAP) -- Dues: $125
Emeritus and Retired Member (Over age 70, fully retired physicians) -- Dues: $100
Post-Residency Training Fellow (AAP must have letter from your fellowship program director) -- Dues: $0
Resident Member (Pediatric resident who belongs to the National AAP) -- Dues: $0
Medical Student Members -- Dues: $0
Chapter Associate (Allied Health, Nurses, PA’s, Child Psychologists, Professional Staff). -- Dues: $100

For questions, please contact Meredith Kennedy at:

American Academy of Pediatrics, Chapter 3
PO Box 22212
San Diego, CA 92192-2212

Phone: (858) 569-8816
Fax: (858) 453-1311
Please make checks payable to: AAP-CA3
If you would like to pay electronically, please call the National AAP office at 1-866-THE-AAP1.

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© AAPCA3 | Created by J. Neal
American Academy of Pediatrics, California Chapter 3
PO Box 22212 | San Diego, CA 92192-2212
(619) 281-AAP3 (2273) | Fax: (858) 453-1311 | info@aapca3.org