2025 Florida Dues Payment Form

Member Information

Name*

First NameLast Name

Email*

example@example.com

Phone Number

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ACS Member ID

Payment Information

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Membership Level

2025 Associate Fellow Member Dues - $1152025 Affiliate Member (Non-FACS Professional) Dues - $1952025 Retired Member Dues - $502025 Resident Member Dues - $252025 Medical Student Member Dues - $10

Back Dues for 2024

2024 Associate Fellow Member Dues - $1152024 Affiliate Member (Non-FACS Professional) Dues - $1952024 Retired Member Dues - $502024 Resident Member Dues - $252024 Medical Student Member Dues - $10

Check Number

Edit Email

example@example.com

Please make checks payable to:

Florida Chapter of the American College of Surgeons
633 N. Saint Clair
c/o Association Management
Chicago, IL 60611

My Products

2025 Fellow Member Dues

$195.00

2025 Associate Fellow Member Dues

$115.00

2025 Affiliate Member Dues

$195.00

2025 Retired Member Dues

$50.00

2025 Resident Member Dues

$25.00

2025 Medical Student Dues

$10.00

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

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Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

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2025 Online Dues Payment