Membership Form
Arab Women Doctors Network
(AWDN)

 How to use this Form:
Use one Form per member
Type in the Form, on the screen, (complete applicable blanks). 
Press "TAB" to move between blank spaces. 
DO NOT CLICK ON "ENTER" while completing the form. If you do that, you will close the form and send incomplete Form!
DO NOT press the  "BACK" button because all information will be deleted if you leave this web page.


I would like to join the Arab Women Doctors Network (AWDN) to receive the following marked membership services. Please click in the boxes for selected services. Also, to view samples, before you complete this form, please click on the services page.

   FREE Services:
   Membership in the Network
   Build a CV web site in English language.
   Build conference and workshop announcements for members in the  Arab women doctors network.
   FREE web site hosting for all member web sites.

   Paid Services:
   Build a Professional web site in Arabic language about me:  $50
   Build web sites for the abstracts of my published papers: $40 per web site abstract
        Total Number of Abstracts
X $40/web site abstract = $
   Special projects: Please send a description of your projects by E. Mail to:
        
arabwomendocs@gmail.com

Total Payment:  Please add the fees for all marked boxes and enter the amount here $ 

PAYMENT

    1. USA Dollars, Checks only, no credit cards.
    2. Orders are Paid in full and in advance by checks drawn on American banks.
    3. Check Number (USA members) 
    4. NONE USA members
      You may pay by wire, electronic transfer of funds (
      please see - Sending The Advertisement Form, below)
    5. On Line Tracking  Number (None USA members) 
    6. Payment Date 


 
Important Notes:

  • Your local bank will charge you a processing fee about $15 - $20 for electronic transfer of funds to our bank account. To avoid delays in processing your order, please do not authorize your local bank to take the processing fee from your payment.
     
  • You don't have to pay your local bank a processing fee by asking a friend or a relative who live in the USA to pay your membership fee directly to us, by a check drawn on an American bank and mailed to our following mailing address:

    Doctors' Marketing Service
    P.O. Box 748 , Lake Forest, California 92609-0748

Name And Contact Information:

First Name   M.I.   Last Name
Title
Organization Name
Number  Street  Suite #
City
State/ Country Zip Code
Area Code
Telephone Number
FAX Number 
E-mail Address
Web Site Address 

Sending The Membership Form

Please click on the method used to send your payment:
.
.USA Members: Please complete, then print the Order Form and mail it with your check to:
Doctors' Marketing Service
P.O. Box 748 , Lake Forest, California 92609-0748

  Non-USA Members: Electronic transfer of funds: To avoid delays in processing your order
 

.
To send your payment online, kindly use the following account information: 
DOCTORS MARKETING SERVICE 
Routing Number: 122201198
Account Number: 11072547
Farmers And Merchants Bank
23772 Rockfield Boulevard, Lake Forest, California 92630, USA
Also, please send the completed form on line,  click on the button below.
>>> Please Review The completed Form before you click on "Send It in". <<<
.

E. Mail  arabwomendocs@gmail.com

Back To Home Page

 
copyright© 2011  Doctors Marketing Service