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 with any questions.

Preferred Name *
What do you go by?
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Last Name *
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Email *
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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.
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