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BYLAWS
GOVERNING BODY
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EVENTS
SPONSORS
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TERMS
CONTACT US
HOME
ABOUT US
BYLAWS
GOVERNING BODY
MEMBERSHIP BENEFITS
EVENTS
SPONSORS
VOLUNTEER
TERMS
CONTACT US
Menu
HOME
ABOUT US
BYLAWS
GOVERNING BODY
MEMBERSHIP BENEFITS
EVENTS
SPONSORS
VOLUNTEER
TERMS
CONTACT US
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HOME
ABOUT US
BYLAWS
GOVERNING BODY
MEMBERSHIP BENEFITS
EVENTS
SPONSORS
VOLUNTEER
TERMS
CONTACT US
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HOME
ABOUT US
BYLAWS
GOVERNING BODY
MEMBERSHIP BENEFITS
EVENTS
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VOLUNTEER
TERMS
CONTACT US
Register
[ultimatemember form_id="529"]
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Please enable JavaScript in your browser to complete this form.
Name
*
E-mail
*
Phone
*
Are you a resident of the Greater Sacramento area The following counties are located in the Greater Sacramento area: El Dorado County, California-Nevada County, California Placer County, California Sacramento County, California Sutter County, California Yolo County, CaliforniaYuba County, California El Dorado, Placer, Sacramento, and Yolo counties compose the Sacramento–Roseville-Folsom, California, Metropolitan Statistical Area. Sutter and Yuba counties compose the Yuba City Metropolitan Statistical Area, known as the Yuba–Sutter area. Nevada County composes the Truckee–Grass Valley Micropolitan Area.
*
Yes
No
El Dorado County
CaliforniaNevada County
California Placer County
CaliforniaSacramento County
CaliforniaSutter County
CaliforniaYolo County
CaliforniaYuba County
California
Please select your current position from below:
Licensed Physician
Retired Physician
Medical student
Resident/Fellow
None of the above
Other
What is your Specialty?
Do you have a spouse who will be a member of AAPI of Sacramento?
*
Yes
No
Spouse name
*
Spouse email address
*
Spouse Phone Number
*
Spouse specialty
One Year Membership For Calendar Year Jan-Dec 2024, Includes Gala Attendance: (Fees are non refundable)
Member physician - $100
Member physician spouse - $100
Non physician spouse - $80
Children of members:
Under 8 years - $25
8 years to 15 years - $55
15 years plus - $80
Total Amount to be Paid
*
Supplemental form for Gala:
Number of Adults attending the Gala:
*
Name of Adults attending the Gala:
*
Number of Kids:
Name of Kids attending the Gala:
Ages of Kids:
Have you completed Payment Via Zelle to aapisac22@gmail.com ?
*
Yes
No
Do you agree to read and abide by our Bylaws posted on our website aapisacramento.org
*
Yes
Send