Dues Renewal Membership Categories Active Membership – $300 To be eligible as an Active Member, a person shall have been certified by the American Board of Obstetrics and Gynecology or the American Osteopathic Board of Obstetrics and Gynecology, and must be in practice in the State of Washington. Candidate Membership – $300 To be eligible as a Candidate Member, a person shall have satisfactorily completed the written portion of the examination for certification by the American Board of Obstetrics and Gynecology or the American Osteopathic Board of Obstetrics and Gynecology, and must be in practice in the State of Washington. Affiliate Physician Membership – $300 Affiliate Membership is available for healthcare professionals who practice with or belong to a practice associated with an active fellow, such as a physician who practices OB/GYN who has not sought ABOG certification, a physician of a specialty other than Ob/Gyn. Affiliate Membership include all rights and privileges of Active Membership, except voting. Affiliate Non Physician Membership - $250 Affiliate membership is available for all mid-level healthcare professionals: RN, a nurse practitioner (ARNP), a Certified Nurse Midwife (CNM), a Licensed Midwife (LM), a Physician Assistant (PA-C), a Registered Nurse (RN), and Licensed Practical Nurse (LPN), or reproductive scientists. Affiliate Membership includes all rights and privileges of Active Membership, except voting. Area Membership – $100 Area Membership is established for those practicing outside of King, Pierce and Snohomish counties who find it difficult to attend dinner meetings. Area Members pay for dinners attended (they are currently $75 each). In-Training Physician Membership - $100 In-training membership is available for obstetrics and gynecology residents or fellows during their education program. In-training Membership includes all rights and privileges of Active Membership, except voting.Name First Last TitlePractice/Group NameAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe PhoneEmail* Membership TypeMembership CategoryActive Membership - $300.00Candidate Membership - $300.00Affiliate Physician Membership - $300.00Affiliate Non Physician Membership - $250.00Area Membership - $100.00In-Training Member - $100.00TOTAL $0.00 CREDIT CARD American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name INQUIRIES Contact Kimberly Conn, Association Executive, at the SGS office at 206-956-3652 or send emails to firstname.lastname@example.org.