Fill out the form, then print it, then press the submit button at the bottom.

Mail Completed Application and Check made out to MAS to:

PO Box 5498, Takoma Park, MD 20913-5498

Questions? call 443-320-1695 or email

Personal Information

We would like to have your home address to determine your legislative district in Maryland. It will not be used for any other purpose unless it is your mailing address above.

The information below will be placed on the MAS web site at

If you do not wish have your information listed, please check this box:

Acupuncture Herbology Asian Bodywork

The following information is for all the offices in which you practice acupuncture:

First Office

Second Office

Third Office

Select one choice below:

All MAS memberships new or old, expire on October 31 each year. A new member joining between May and August should take a 50% discount off the normal rates their first membership year. A new member joining after August should pay the full rate and will have their membership last until the following year. For example if you join in September 2007, your membership will expire October 31, 2008 instead of October 31, 2007.