Join ATCMS

Home
News & Blogs
Member Events
Lectures & Seminars
- Up Coming >
  - 2024 冬季學術講座
- Past Events >
Join Us

ATCMS

Home
News & Blogs
Member Events
Lectures & Seminars
- Up Coming >
  - 2024 冬季學術講座
- Past Events >
Join Us

Join ATCMS

會員申請表
Member Application

Part 1: Basic Contact Information

* Indicates required field

Name 英文姓名 *

First

Last

Chinese Name 中文名 (If any) *

Please Select One *

Mobile Phone 手機號 *

Email 電子信箱 *

WeChat ID 微信號 *

Mailing Address 郵寄地址 *

Line 1

Line 2

City

State

Zip Code

Country

Part 2: Education Background

EDUCATION - NAME OF SCHOOL 1 *

- Year of Graduation 1 畢業年份 *

- Degree 1 學位 *

Education - Name of School 2 *

- Year of Graduation 2 *

- DEGREE 3 *

EDUCATION - Name of school 3 *

- Year of graduation 3 *

- Degree 3 *

Part 3: Practice Location

Practice State 1 *

License No. 1 執照號碼 or Student ID *

Practice State 2 *

License NO. 2 *

Practice State 3 *

License No. 3 *

Work - Organization 主要工作單位 *

Primary Work Address 主要工作地址 *

Line 1

Line 2

City

State

Zip Code

Country

- Position 職位／職稱 *

Work Phone 工作電話 *

Work Fax 傳真 *

Medical Specialties 醫學專長 *

內科外科婦產科兒科耳鼻喉科骨科美容學基礎理論科研診斷學科研中藥／藥理／炮製研究推拿學其他：請在留言處說明。

Part 4: Your Interests and Talents

Future Events Interested 感興趣的活動 *

微信 - 紐約中醫論壇北美定期學術講座中國短期學習班中醫針灸維權活動病人轉介網絡協會聯誼活動其他：請在留言處說明。

Hobbies & Talents 業餘興趣或專長 (Optional) *

唱歌舞蹈朗誦樂器武術書法其他：請在留言處說明。

Part 5: 您的建議與期望

請您寫下對美國中醫藥針灸學會的建議或者未來感興趣的講題或活動。我們將會竭盡全力為中醫界服務。
Please write down any comment or suggestions to ATCMS or the topics and events that your are interested in. We will try our best to serve our Acupuncturist/TCM Practitioners community.

Additional Information *

Max file size: 20MB

Comment or Suggestion *

Please write down any comment or suggestions to our society or the topics or events that your are interested in. We will try our best to serve our Acupuncturist/TCM Practitioners community. Your input is much appreciated.

I agree to receiving marketing and promotional materials

Submit Application and Proceed to Payment

We Would Love to Have You Visit Soon! Hit Subscribe Below to Join As A ATCMS Member!

Join Us

Email

[email protected]

Home
News & Blogs
Member Events
Lectures & Seminars
- Up Coming >
  - 2024 冬季學術講座
- Past Events >
Join Us

Join ATCMS

​會員申請表Member Application

Part 1: Basic Contact Information

Part 2: Education Background

Part 3: Practice Location

Part 4: Your Interests and Talents

Part 5: 您的建議與期望

We Would Love to Have You Visit Soon! Hit Subscribe Below to Join As A ATCMS Member!

Email

會員申請表
Member Application