NYACP Dr's Dilemma Team Registration

Date: Friday, May 27, 2022
Crowne Plaza/ Desmond Hotel
Albany, NY

Residency Program
First Name *
Last Name *
City *
State *
Zip Code *

Registration Fees and Billing Information*
Request for refunds must be made in writing on or before  May 15, 2022  No refunds will be issued after Insert Date. If you have trouble processing your online registration, please contact Karen LaBello by email (klabello@nyacp.org) or contact the NYACP office at (518) 427-0366.  Contact Us      Privacy Policy     Site Map   

*You must list exactly the address your monthly cardholder statements are sent.

Registration Fees *

Clear Selection
Name (As it Appears on Card) *
Billing Address 1 *
Billing Address 2
City *
State *
Zip Code *

Payment Information

Amount to Charge :
Payment Method:

Fields marked with * are required.

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

Contact Us

PO Box 38237 | Albany, NY 12203

Connect With Us

2022 New York Chapter of the American College of Physicians All Rights Reserved.