Home > Registration Registration AAPLOG Membership and Renewal Application Membership in this organization shall be open to all physicians who have completed an ACGME or AOA approved OB/GYN residency program. We welcome as Associate Members any other physician or para-medical person who agrees with our mission statement. Name*FirstLastOffice Address*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSend APPLOG mail to the office?*YesNoMailing AddressStreet AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOffice Phone*Email*Email UpdatesYes, I would like to receive email updates from AAPLOG.WebsiteMembership TypeOB/GYN MembershipAssociate Membership (For other physicians and para-medical persons)OB/GYN MembershipTitleM.D.D.O.Sub-SpecialtyAdditional InformationACOG MemberACCOG MemberBoard CertifiedBoard EligibleRetiredOnline DirectoryYes, I would like to be displayed in the online directory.Annual Dues For Members Active Members: $200 Dues can be deducted as a business expense. Retired Members: $100 Resident Members: free New Members: free Associated Membership(Non OB/GYN physicians and para-medical persons.)TitleM.D.D.O.NurseOtherSpecialtyContributionsNo dues are required for associate members. However, contributions of any amount are accepted. We are a 501 C3 organization and will send a tax exempt receipt for donations
