Membership Checkout

Membership Information

You have selected the Category 1 - Affiliate membership level.

Annual Income: More than $50,000 USD

The price for membership is $172.

Membership expires after 1 Year.

Do you have a discount code?

Account Information

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Donate to the Support a Delegate Fund

Donation Amount

Help support students and health professionals from LMICs participate in the upcoming congress in Tokyo in May 2025. 100% of your donation will be used to provide registration scholarships for eligible applicants.

Contact Details

Institution

Department

Address

City

State/Province/Region

Zip Code/Postal Code

Country

Professional Details

Salutation

Degree(s)

Ex. MD, PhD, MBBS, MPH, RN, MSc, etc.

Profession

More Information

How did you hear about WADEM?

Referred by

Affiliate Organization

Please provide name of the affiliate organization you belong to.

Opt-In Mailing List

Join our mailing list.

WADEM Distribution List

Set your Membership up for Automatic Renewals (Optional)

Select the box & your credit card/PayPal account will be annually billed at $172/Year.

Choose Your Payment Method

Pay with a Credit Card

Pay using PayPal

Payment Information

Pay with Credit Card

Card Number

Expiration Date

CVC

Discount Code

Processing...