NYACP 2021 Annual Scientific Meeting Sponsor Application | New York Chapter of the American College of Physicians

To participate as a NYACP meeting sponsor, please complete this application form and submit with your full payment.

Sponsorship Levels *

Gold Level - $3,000

Silver Level- $2,000

Bronz Level - $1,500

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Credit Card Billing Address II (ie Apartment, Floor, Suite)

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Enter the name on the bank account according to the information shown on your bank statement. The account number and routing number can be copied from the lower left corner of the check.

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