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Request to Join Partner Program

Maricopa County Medical Society (MCMS) welcomes companies offering products and services for physicians to apply for our Partners Program. We have four levels: Advertising Partner, Discount Partner, Preferred Partner, and Exclusive Partner. Please complete the fields below to be considered by our team at MCMS.
1.Please provide some contact information.(Required.)
2.Summary of the product or service you provide.(Required.)
3.Which medical specialties fit your target audience?(Required.)
4.Are you offering a discount for MCMS member physicians?(Required.)
5.Upload document # 1 about your product/service. 
No file chosen
6.Upload document #2 about your product/service. 
No file chosen
Current Progress,
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