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RSVP for April 25 Spring Social
Please use this form to register. If you have any questions, please contact Nikki Ringenberg at
nringenberg@nashvillemedicine.org
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Event Details:
Name
*
Your answer
Email Address
*
Your answer
How many people would you like to register?
*
Choose
1
2
3
4
5
6
7
8
9
10
Please list the name and email address of each attendee if you are registering for more than one person. Please list the name how it should appear on a nametag.
Your answer
Are you a Nashville Academy of Medicine Member or Physician Partner?
*
Yes, I am a practicing physician member.
Yes, I am a resident physician member.
Yes, I am a medical student member.
Yes, I am a retired physician member.
I am a Physician Partner or Community Partner.
I volunteer with Project Access Nashville Specialty Care.
No, I am not a member.
I am not sure.
Other:
Thank you to our sponsor:
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