Temp Registration – Alabama Academy of Family Physicians

Name *

First

Last

Designation

AAFP ID#

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Are you a resident physician member presenting a poster? *

Which days will you attend? *

For day two please select: *

Resident physician member registration is free. Please click 'Register' to complete your registration.

Select payment method: *

Total Registration Fee

$0.00

Stripe Credit Card *

Card

Name on Card

Make check payable to AAFP and mailto:

AAFP
19 South Jackson Street
Montgomery, AL 36104

Our Tax ID # is 63-0363485