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Click ‘Get Form’ to open the Reduced Dues Application in our editor.
Begin by filling out your contact information. Enter your name, address, city, state/province, zip/postal code, and email address in the designated fields.
Next, indicate your membership status by selecting 'Yes' or 'No' and provide the year you joined if applicable.
In the Annual Gross Income section, specify your income in US dollars. This information is crucial for assessing your eligibility for reduced dues.
Provide detailed information on why you need reduced dues in the specified text area. Be as specific as possible to support your application.
Finally, review the payment information section. If you're including a check or money order, ensure it’s made payable to the American Academy of Neurology. If opting for credit card payment, note that instructions will be sent upon approval.
Sign and date the application at the bottom before submitting it via mail, email, or fax to Member Services.

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neurology application

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