100 East Grand, Suite 170 | Des Moines, IA 50309-1800
Phone: (515) 283-9370; Toll-free: 1-800-283-9370
Home
About IAFP
Contact Us
Member Login
Site Search
Meetings & Events
About IAFP
Awards & Community Involvement
Annual Membership Awards
Tar Wars
Education
Iowa Family Physician Magazine
IAFP Foundation
Federal and State Advocacy
Links
Advertising
Job Board
Member Only
News
Students
Residents
Member Login
AAFP ID
Last name or password
click here for password
Tar Wars
Tar Wars Presenter Application
If you would like to be a presenter, please submit the following form.
*
denotes required field
First Name:
*
Last Name:
*
Address:
*
City / State / Zip Code:
*
/
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
/
Daytime Phone:
*
E-mail:
*
Communities you would prefer
to work in (if possible):
Please check one:
*
Family Physician
Resident
Medical Student
Other
© 2008 Iowa Academy of Family Physicians. All Rights Reserved. |
Privacy
|
Feedback
|
Printer Friendly