Individual Registration

Please enter information in the form below to process registration for event 2021 Annual Meeting (Guest).

Registration Information

Registration Type	Price	Quantity
Guest Gala Ticket Guest Gala Ticket	$100.00

First Name *

Last Name *

Organization

Address *

City *

Zip *

State *

Phone *

Email *

Comments / Instructions

Payment Information

Amount

Payment Method

Credit Card (VISA, MASTERCARD, AMEX, DISCOVER)

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*

The Membership in the Association is open to all physicians of Cameroonian heritage, physicians married to Cameroonians, physicians who are naturalized citizens of Cameroon, practicing, teaching or otherwise engaged in the medical profession in the United States of America and Canada.

Membership Types

- Full/Regular Members
- Associate / Resident Members
- Student Members
- Affiliate Members
- International Members
- Honorary Members
- Founders Club

Contact Us

Association of Cameroonian Physicians
in the Americas, Incorporated

info@acpa-cmr.org

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