The National Medical Student Voter Registration Campaign
Sign up here if you are interested in getting more information about the National Medical Student Voter Registration Campaign and how to receive a Citizen Physicians pin*.
Medical School (official school name), City, State
Year in medical school
Address to send the pins to
How many pins do you need (1, or are you organizing this with other classmates)?
Any questions or comments?
Within a week of submitting this form, you will receive an email with more information. In the meantime, please make sure to visit our website at
, like us on facebook to keep up to date, and follow us on twitter @ctznphysicians.
*Pins available while supplies last (but don't worry: we have a lot).
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