Kansas Medical Group Management Association

Application for Membership

Please print to fill out the Application for Membership form and attach a check payable to KMGMA for the appropriate category:

Individual $100.00; Allied $200.00; Student $25.00; Group 1-5 members $400.00; 6-10 members $750.00. Each individual must submit an application. Group membership must be submitted together.

MAIL TO:

Phil Berndt, Executive Assistant
KMGMA Membership Committee
3811 SW Mission Ave
Topeka, KS  66610

Phone: (785) 207-4363  or (785) 366-6797

E-mail: info@kmgma.org