WELCOME ATMA MEMBERS SELECT YOUR MEMBERSHIP LEVEL SUPPORTING ($80 USD)PROFESSIONAL ($140 USD) ATMA is a 501(c)3 nonprofit organization. Your membership contribution is tax deductible. Dear Members, We invite our Public and Professional Members to fill out this form for membership. We request that Professional Members also contact us directly, so that we can discuss in detail your needs and the services that are available to you as professionals. Please visit our Contact Page to connect. MEMBER'S INFORMATION First Name * Last Name * Address 1 * Address 2 City * State / Province / Region * Zip / Postal Code * Country * E-Mail * Phone * How did you hear about American Tibetan Medical Association? How do you prefer to hear from us? Would you refer us to someone you know? YesNo If so, please provide their contact information (Name, Street Address, City, State, Zip): Additional Comments: You will be redirected to PayPal and Pay-by-Check options upon submission of your ATMA Membership Form. There, you can opt to secure your membership with a debit card, credit card, PayPal credit or Mail-In. Security Code Enter Security Code Here Thank you for your kind support!