Skip to main content
Print This Page
Text Size
Scroll To Top
Add Me To Your Mailing List
Member Login
My Shopping Cart
Shopping Cart
cancel
Menu
Home
About Us
About
Board of Directors
History of PAMS
Awards
Membership
Missions
Missions
Mission Volunteer
Donate
Ways to Give
Donor Advised Funds
Legacy Giving
IRA Donation
Stocks Donation
Matching Donation
Donate
PAMS Polyclinic
PAMS Polyclinic
Polyclinic Missions
Polyclinic History
Friends of PAMS Auxiliary
Chapters
News & Events
News
Event Calendar
Education
Education
Webinars
Publications
Concurso Investigacion
Mentorship
CME Credit
51st Annual Convention
Contact Us
Home
Add Me
Add Me To Your Mailing List
Complete the information below to be added to our mailing and emailing list.
First Name
Last Name
Email Address
Country
United States of America
Argentina
Australia
Austria
Belgium
Bonaire, Sint Eustatius, and Saba
Brazil
Canada
Denmark
Finland
France
Germany
Ghana
Greece
India
Ireland
Italy
Japan
Mexico
Netherlands
New Zealand
Norway
Peru
Portugal
Spain
Sweden
Switzerland
Türkiye
United Kingdom
Show All
Address 1
Address 2
City
State
< Select >
Alabama
Alaska
Arizona
Arkansas
Armed Forces Americas
Armed Forces Eu, ME, Africa
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Timezone
< Select >
Hawaiian Time (UTC-10:00)
Alaskan Time (UTC-09:00)
Pacific Time (US & Canada) (UTC-08:00)
Mountain Time (Arizona) (UTC-07:00)
Mountain Time (US & Canada) (UTC-07:00)
Central Time (US & Canada) (UTC-06:00)
Eastern Time (US & Canada) (UTC-05:00)
Show All
The timezone was set based on your address. Please double check it to be sure it is correct.
Phone
Mobile Phone
Fax
Title
Organization
Subgroup
Peruvian American Medical Society
Illinois
North Texas
San Fernando
South Florida
Southern California
Tampa Florida
How did you hear about us?
Select
Email Solicitation
Friend or Acquaintance
Marketing Telephone Call
Meeting or Event
Newspaper or Magazine Article
Online Search (Google, Bing, etc.)
Webinar
Category
Which category or categories best describe you.
(Check all that apply)
2024 Auxiliary Members for Ema
2024.08.03 Active Members
All Active Members 2024.08.04
Save
Cancel