Iowa Chapter ACS Membership Dues

Attention Active Fellows

ACS implemented the Joint ACS National/Chapter Dues Collection Program to combine national and chapter Fellow dues into one invoice. You can now pay your 2026 Chapter dues and 2026 National dues simultaneously in a single transaction.

Once logged in, you may pay your dues online by credit card, or select another payment method (check, ACH, wire, fax, or print an invoice). The College will also send an invoice by both email and mail. All FAQs about this program may be answered Chapter Dues Billing.

To pay your dues, visit the College’s website and login to your online member portal.

www.facs.org
Click “Login” and log in to your account; and
Click your circular profile icon; and
Click “My Dashboard”; and
Click on the “Make a Payment” alert on the top of the Dashboard

Associate, Seniors, Retired, and Affiliate members will continue to pay their dues directly to the chapter. Hit continue to pay your 2026 Iowa Chapter ACS Dues. Thank you!

2026 Iowa Chapter ACS Dues Form

Associate, Retired, Senior, and Affiliate dues only.
Membership Information
Name*

First NameMiddle NameLast NameSuffix
Credentials*

MDMD, FACSDODO, FACSOther
Email*
example@example.com
Cell Number*
Please enter a valid phone number.
Practice Type*

AcademicPrivate PracticeCommunity Hospital EmployedMixed Model
Academic Program*

Iowa Methodist Medical CenterUniversity of IowaMercyOne Des Moines
Institution/Practice*
Preferred Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have an administrative assistant that you would like us to send announcements to about chapter events and programs?*
Admin Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Surgical Specialty
Specialty*

General SurgeryTrauma/Critical CareBreast SurgeryVascular SurgeryTransplant SurgeryThoracic SurgeryCardiac SurgeryOtorhinolaryngologyOrthopedic SurgeryUrologyPediatric SurgeryColorectal SurgerySurgical OncologyPlastic SurgeryMinimally Invasive/BariatricOther
Your Chapter Involvement

Get Involved in Your Local Chapter
Yes, I would like to be involved in the following:

Program CommitteeAssociate Fellow CommitteeYoung Fellows Association CommitteeCommittee on Trauma (COT)Commission on Cancer (CoC)Women in Surgery CommitteeAdvocacy Committee/DayResident CommitteeMedical Student Committee
Membership Status
Are you a medical student or resident?*

yesno
2026 Membership Level*

2026 Resident Member- $02026 Medical Student Member-$0
How will you be paying?*

checkcredit card
Dues Payment
2026 Membership Level*

2026 Associate Member - $802026 Senior Member - $252026 Retired Member - $25
Please make checks payable to:
Iowa Chapter of the American College of Surgeons

Print this form and mail with your check to the address below:

Iowa Chapter ACS
c/o Janna Pecquet
2213 Danny PK
Metairie, LA 70001

Questions? email janna@pk-mgmt.com

Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

2026 Iowa Chapter ACS Dues Form

Membership Information

Surgical Specialty

Your Chapter Involvement

Membership Status

Dues Payment