Association of VA Surgeons Membership Dues

Personal Information:

Member First Name *

Member Last Name *

Street Address *

Address Line 2

City *

State *

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Phone Number *

Email Address *

Please send a receipt to this email address:

Membership Dues Information

Note: Please check more than one box if you owe delinquent dues.

Membership Dues *

2024 Dues - $200

2023 Dues - $150

2022 Dues - $150

AVAS Foundation Donation

(May be tax deductible. Please consult your tax advisor.)

Questions? Please call our office at 206-794-9124 for more information.