2021 NYACP Scientific Meeting Registration Form-Virtual Conference Med Students Only

NYACP's Annual Scientific Meeting
Registration Form

Thursday, October 7, 2021
Business Meeting & Awards Reception

Friday, October 8, 2021
Virtual Annual Scientific Meeting


ACP Number
First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
Phone *
Email *
Registration Fee's *

Clear Selection
Registration Fees: Friday, October 8, 2021
 Please note: ACP membership will be verified. Pre-registration prices end September 27, 2021.

Concurrent Breakout Sessions: Please select which sessions you plan to attend.

Concurrent Breakout Session I: 12:30 pm
Concurrent Breakout Session II: 1:40 pm
Breakout Session III: 2:45 pm
Total Fees

Payment Information

Amount to Charge :
Payment Method:

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