The American Society of Forensic Obstetricians and Gynecologists

Residents in postgraduate training $25.00/year ACOG Fellows and Junior Fellows $100.00/year Non-ACOG affiliated physicians $75.00/year Non-physicians $150.00/year

Print out this form and mail it to: American Society of Forensic Obstetricians and Gynecologists Daniel M. Avery, MD University of Alabam School of Medicine 850 5th Aveune East Tuscaloosa, AL 35401 205-348-4487

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