Join CSOMA's Action Network

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

CSOMA Advocacy Network

NOTE: CSOMA members are automatically enrolled in the CSOMA Advocacy Network as part of their membership. There is no need for members to enroll.

First Name *
Last Name *

Residential Address

While a residential street address is not required for enrollment, we encourage you to provide this information. It will enable us to target specific legislators and districts and will greatly enhance the effectiveness of our campaigns.

Address Line 1
Address Line 2
Address Line 3
Zip Code

Privacy Notice: A valid email address is required to enroll in the CSOMA Advocacy Network. CSOMA has instituted stringent reviews and opt-out capabilities to ensure that you do not receive unwanted e-mail from us. CSOMA will not give or sell your e-mail address or other contact information to any entity outside CSOMA unless you specifically authorize us to do so.

Email *


Copyright © 2006-2017 California State Oriental Medical Association.  All rights reserved.