MEDLIFE Registration 2016-2017
Online Registration for MEDLIFE at UGA 2016-2017

New MEDLIFE at UGA Member Expectations:
1. Participate in at least 2 Service Events each semester
2. Attend or participate in at least 2 Large MEDLIFE Events

Dues of $20 must be paid via PayPal at the completion of this form (redirected upon submission).

The official MEDLIFE at UGA 2016-2017 T-shirt is included with payment of dues.

Please email medlife.uga@gmail.com with any questions.

Preferred Name
What do you go by?
Your answer
Last Name
Your answer
Email
Your answer
Shirt Size
Are you aware of and committed to meeting the MEDLIFE at UGA Member Expectations?
Ready to pay dues ($20) over PayPal now?
In order to complete your registration online, you must pay dues via PayPal upon hitting submit.
paypal invoice
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms