MD Membership Renewal
  1. You can fill out this Online form or you can print, fill out and mail with your check or credit card info to:

    Connecticut Orthopaedic Society
    Susan Schaffman - Executive Director
    26 Riggs Avenue
    West Hartford, CT 06107
    Phone: (860) 690-1146
    FAX: (860) 955-1178
    Email: ctorthoexec @ gmail.com

  2. First Name:(*)
    Invalid Input
  3. Last Name(*)
    Invalid Input
  4. Address:(*)
    Invalid Input
  5. City, State Zip:(*)
    Invalid Input
  6. Email Address:(*)
    Invalid Input
  7. Phone:(*)
    Invalid Input
  8. Fax (optional)
    Invalid Input
  9. Political Activities Fee $50

    Invalid Input
  10. To prevent spam please Enter Code(*)
    To prevent spam please Enter Code
    Invalid Input
  11. Renewal fee to COS is $295.00
  12. (Note: Dues are not a charitable contribution. A portion of your dues may qualify for business expense for federal income tax purposes and 38% of COS membership dues and 100% of the political activities amount are used for lobbying and cannot be deducted for business purposes.)