Register Your National Service Project Event

The information you provide below is solely for the AMA's internal use and will not be reused or sold for any commercial purposes without your permission. We are collecting this information to better publicize your event and may use it in AMA promotions, media, etc.

Contact Person

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Medical School
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First Name
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Last Name
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Address
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Address Line 2
 
City
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State
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ZIP Code
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Phone
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000-000-0000

Register Your National Service Project Event

Event Information

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Title of event
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Date of Event
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Event description (this brief description will be used for advertisement on the Health Access Website)

Event Description
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