Member Testimonial Question Title * 1. What is your member type? Physician Nurse Other Healthcare Professional Fellow in Training Resident Student Retired Question Title * 2. Please provide your member testimonial (Why are you an AGS member? What value do you receive from your membership?) Question Title * 3. Optional: What is your name? (if you'd like to remain anonymous leave this blank.) Question Title * 4. Optional: Upload your picture (if you'd like to remain anonymous leave this blank.) DOCX, DOC, JPG, GIF, JPEG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Optional: Upload your picture (if you'd like to remain anonymous leave this blank.) Question Title * 5. Can we use your member testimonial for promotional purposes? Yes No Done