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UC Davis AMSA Membership Info Form
Welcome to the UC Davis American Medical Student Association.
***This is where you can become an AMSA member and/or sign up for our MONTHLY newsletter***
If you are interested in becoming a paid member of AMSA, please fill out the form below to give us your name, UC Davis email address, and AMSA T-shirt size.
After you pay your membership fee, your name will appear on the official AMSA roster at
First and Last
As of this quarter
5th Year or Other
Paid Membership and Membership Fee Details
The membership fee will be ***$25*** for one academic year, which includes the newly designed T-Shirt (Pictured Below).
➢ Membership allows full access to the following and more as the year progresses:
➢ Mentorship Program/Events
➢ Community Service Events
➢ Paid Resources and Databases
➢ Membership Points/Rewards
➢ Board Applications
➢ End-of-Year Banquet
Please verify that you will be able to pay the membership fee and receive the free AMSA T-Shirt below.
$25 Venmo to @jhuang2022 (Title your payment as "AMSA Membership")
Other method (email
By cash (in-person with board member)
(NOT PAYING) I am here to subscribe for emails & newsletter
N/A or not interested (non-paid members)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of UC Davis.