TMA Committee Form
Please fill out the form below if you are interested in serving on a committee. The deadline to apply is September 15. Email Amy Campoli at amy.campoli@tnmed.org if you have any questions.
Full Name
*
First Name
Last Name
Component Medical Society
*
Please list the full name.
Email Address
*
Contact Number
*
-
Area Code
Phone Number
Select all of the committees you would like to serve on:
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Constitution and Bylaws
Public Health
Professional Relations
Education
TMA PAC Board of Directors
Legislative
Membership & Recruitment
Insurance Issues
Tennessee Delegation to the AMA
Submit Form
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