Application for Membership

Membership application for the AAISG; Return by mail, fax or email to: dfirschein@allergypartners.com

Dean Firschein, M.D.

330 Hawthorne Lane

Athens, GA 30606

706-613-8500 Phone

706-613-8844 Fax

Membership Categories:

Regular Members: $130 Board Certified Allergists (includes voting rights and admission to the annual meeting)

Emeritus Members: $30 (includes voting rights and admission to the annual meeting)

Mid-level Provider of a Current Member: $100 meeting fee (does not include attendance at business meetings or voting rights)

Non-Member Meeting Attendance Fee: $250 (Medical Science Liaisons---does not include attendance at business meetings or voting rights)

Affiliate: $100 (Allergists outside of the state of Georgia. Does not include attendance at the business meeting or voting rights)

Click on the link below to download the Membership Application.