Evolve/Elevate Sponsorship Form

  • Support AMWA Leadership Development

    Thank you for playing a part in accerating leadership advancement to more women physicians. Together, we can drive impactful change in the future of healthcare.
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  • Which program are you supporting? (note - Pioneer and Trailblazer Sponsors will be recognized by participants and alumni of both programs. For other sponsor levels, please indicate your prefered target audience.)*
  • Sponsorship Levels*
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  • We prefer payment by ACH or check:

    To pay by Check, Select amount and apply Coupon Code:  PayByCheck$

    Mail your check to: 201 East Main Street, Suite 810, Lexington, Kentucky 40507

    Direct questions to: jgodfrey@awma-doc.org 

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