Membership Application

Click here to download membership application. (Please note, if the link to this document does not work, you  may need to open our website in Internet Explorer or Firefox).

Please email completed form to

Once your membership has been accepted by the Society, please pay your dues before the next business dinner. Your dues will then need to be paid annually. Our current membership cost is $100/year.

Please write a check to “New Mexico Otolaryngology Society” and mail to:

1 University of New Mexico Dept of Surgery
Div of Otolaryngology MSC10-5610
Attn: Pearl Benavidez
Albuquerque, NM 87131


You may also pay online via our “Membership Payment” link.