Adjunct Membership Application

Join USAFP

USAFP Adjunct Membership Application

I hereby request “USAFP Lifetime Adjunct Membership” in the Uniformed Services Academy of Family Physicians. Adjunct membership provides you with attendance at the USAFP Annual Meeting at the member rate and receipt of the quarterly Uniformed Family Physician magazine. Lifetime membership dues are $100. After completing the application form you will be redirected to a secure PayPal payment option to submit those membership dues. Please call 804-968-4436 with any questions.

USAFP Member Form
Former Branch *
Address *
Address