PITTSBURGH GUILD

A CHARTERED GUILD of the Catholic Medical Association

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To join The Pittsburgh Guild of the Catholic Medical Association, please: 
     1.)  Print this page
     2.)  Complete this form 
     3.)  Return completed form with Check payable for 
                the appropriate dues amount



            The Pittsburgh Guild of the CMA
               2022-2023 Membership Form

NAME_____________________________________________________________
E-MAIL____________________________________________________________
PHONE____________________________________________________________
SPECIALTY_________________________________________________________

     ___  Physician Member (Dues $50)                
     ___  Non-Physician Associate (Dues $25)
     ___  Medical Student, Intern, Resident or Fellow (FREE!)
     ___  All Clergy, Religious and Seminarians (FREE!)

     Please make checks payable to:
     "The Pittsburgh Guild of the Catholic Medical Association"


     Please return completed form to:
     The Pittsburgh Guild of the CMA
     c/o Deacon William Hahn, PhD
     6435 Nicholson Street
     Pittsburgh, PA  15217

Last Updated September 13, 2022

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