Texas Surgeons Advocacy Day
February 23, 2023 | 10:00am-3:00pm | Texas Medical Association
Your Chapter?
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North Texas
South Texas
Name
*
First Name
Middle Name
Last Name
Suffix
Choose One
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MD
DO
MD, FACS
DO, FACS
Other
Your Practice/Institution
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Membership Status
*
Please Select
Active
Associate
Resident
Medical Student
Retired
Email
*
example@example.com
Cell Number
*
Please enter a valid phone number.
Home Address (we will look up your state senator/representative)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Transporation?
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I will meet at the meeting hotel at 9:30am and take the shuttle
I will drive myself and meet at TMA
Submit
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