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MAPP Membership Application

If you are a physician of Pakistani descent practicing in Minnesota, we strongly encourage you to join the Minnesota Association of Pakistani Descent Physicians (MAPP). To apply online,  fill out the following form submit it for our database and after submitting the application also make secure online payment at the bottom of the page through PayPal.

Last Name:

First Name:

Email Address:

Address:

City:

State:

ZIP Code:

Phone (Home):

Phone (Work)

Medical School Name:

Primary Speciality:

Secondary Speciality:

Institution/Practice Name:

Membership Type:

Membership Duration:

Minnesota License?

APPNA Member?


Declaration: I declare that above information is true, correct and complete to the best of my knowledge. I have read and fulfill all requirements to be Minnesota Association of Pakistani Descent (MAPP) member.

 
StopOnce you submit your application for MAPP membership, please return to this page, click "BUY NOW" below to go to PayPal secure payment site for membership dues payment.

Membership Types
 


If you prefer snail mail, download the MAPP membership form here, fill it out and mail your check made payable to "MAPP" to the address 17586 Toft Cove Eden Prairie, MN 55347

Please also consider joining Association of Physicians of Pakistani-descent of North America (APPNA), MAPP's parent organization.  CLICK HERE to apply for APPNA membership online.