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Sign Me Up!

I am interested in joining, for a 1-year term, the following FMDA committees.
(check as many as you like):

Allied Health Professionals Relations Committee

Basic Training Subsection Committee

Bylaws Committee

CME/Education Committee

Futures Program Committee

Government Affairs Committee

Hospice Subsection Committee

Newsletter Committee

Membership Committee
Poster Presentations Review Committee

Name

Title

Address

City/State/ZIP

Phone

FAX

E-mail

I want to volunteer as a Florida delegate or alternate to the next American Medical Directors Association’s Annual Conference.

Thank you for supporting our association.