ACTIVE Membership Level Dues paying Physicians retaining all rights, privileges and eligibility to vote and hold elected office The price for membership is $200.00 per Year. Membership Application Already have an account? Log in here Username Password Email Address Full Name LEAVE THIS BLANK More Information Name DOB Birthplace Cell phone Island of Origin Generation 1st 2nd 3rd 4th Sub-Speciality Education College Medical School/Graduate School Year(s) of Attendance and Date of Program Completion Hospital Affiliation Specialty Special interests Are you willing to volunteer in a committee? Yes No Are you interested in participating in Scientific and Cultural Exchange Trips? Yes No Are you interested in community activities and public health initiatives? Yes No Are you fluent in Kriolo Portuguese English Other How did you learn about us? License-Share Active Yes No N.A Board Certified Yes No Board Eligible N.A. Check Out With PayPal Processing...
