ADMC Application

Instructions

Please provide the following information. The ADMC application process includes completing this application, paying the fee, and submitting the required documents.

Select An Option

ADMC Application - Members $800.00 One-Time Fee

$750 Application Fee + $50 Enrollment Fee
DMC must be in business for at least five (5) years.

ADMC Application - Fast Track Members $1,050.00 One-Time Fee

$1000 Application Fee + $50 Enrollment Fee
Fast Track is an option only if the DMC has been in business for at least 3 years and is owned or was started as an expansion office by an existing ADMC in good standing.

ADMC Application - Non-Members $1,600.00 One-Time Fee

$1500 Application Fee + $100 Enrollment Fee
DMC must be in business for at least five (5) years.

ADMC Application - Fast Track Non-member $2,100.00 One-Time Fee

$2000 Application Fee + $100 Enrollment Fee
Fast Track is an option only if the DMC has been in business for at least 3 years and is owned or was started as an expansion office by an existing ADMC in good standing.

Enter Contact Information

Prefix (i.e. Mr. Mrs. Dr.)

First Name

Last Name

Suffix (i.e Jr. Sr. III)

Designations

E-mail

NameOrganization Name

Please select a valid membership option and fee item if exist

ADMC Application

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