11.4.26 Rochester District Event. | New York Chapter of the American College of Physicians

NYACP Rochester District Networking Social

We're excited to have you join us on November 4th!

Please complete the following information for planning purposes.

ACP Membership #

First Name *

Last Name *

Credentials

Preferred email: *

Which ACP Membership Anniversary milestone did you/will you reach in 2026? *

Did you become a new ACP member within the past 12 months? *

Yes

Clear Selection

Please indicate if you are a NEW Fellow or Master since March 26, 2025

FACP

MACP

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How did you hear about this event? *

Please note any dietary restrictions (Hold ctrl to select multiple)

Other:

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