Step 4

  • I HAVE RECEIVED AND REVIEWED THE 2017 BEST DOCTORS SUMMARY OF BENEFITS.

    Payment for Membership Dues must be received no later than 5:00 PM on Wednesday, December 7, 2016 to ensure continuing insurance benefits through Best Doctors. Charter Members will continue to receive their special Charter Membership rate.


  • If you do not have a middle name, please enter n/a, the form needs to have an entry into the Middle Name field


  • If you live in the Chapala area you know that email and phone service is sometimes erratic. As a secondary contact method, please indicate which local mail service you have. (i.e. new or replacement Boomer membership cards will be delivered to Chapala area members in this manner).
  • All membership dues must be paid by a credit card OR by deposit of the pesos equivalent directly into our Bancomer account. Regretfully, checks are not accepted.

  • For ease of payment, couples/partners may elect to have both members invoiced on the same Invoice.
  • Please list the names of the two members to appear on the invoice. The first name listed will be the email address used to send the invoice. (i.e. John Doe; Mary Patterson). The invoice will be sent to John Doe's email and Mary Patterson will be the second member on the invoice.


-97Days -23Hours -14Minutes -55Seconds