NYSOMS Student Meeting

Friday, April 13, 2018


Registration Form

Description: NYS DO in an Internship, residency or
fellowship program or DO in a NYCOMEC program

      *-required
*First Name: *Last Name:
           

AOA Member Number:

   
       
*Address:
           
*City: *State: *Zip:
           
  *Telephone:      
           
*Medical School: OMS:    
           
*Register me for the: Student Meeting Annual Business Meeting  
  ***You can register for either or both.***    
     
           
*****Email for information from NYSOMS most information is provided via email ******
           
  *Email:    
           
         

 

New York State Osteopathic Medical Society
1855 Broadway, New York, NY 10023
Toll Free: 800-841-4131 | Direct Line: 212-261-1784 | Fax: 212-261-1786
E-mail: info@nysoms.org

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