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Membership Application
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Step 1: Please contact Francine 240-215-3632 for application or email Francine0724@aol.com
Step 2: Complete the application and print it out
Step 3: Email the application (narimidmd@gmail.com or Francine0724@aol.com) or Mail it (918 N East Street, Frederick, MD 21701)
Make sure to include the $75 application fee and appropriate membership fee.
Step 4: A member of our membership committee will contact you.
*** NOTE: If you are paying with a credit card DO NOT send via email. We want to make sure your information is protected. You may fax it to 301-620-9252. Thank you.