2024 ECMS Women in Medicine Event Registration

Registration
THIRD ANNUAL EVENT

Join ECMS to Celebrate Women in Medicine!

The Cork
900 West Erie Plaza Drive
Erie PA 16505

6:00 PM to 9:00 PM

All members will receive a complimentary drink ticket.

Light Hors D'Oeuvres provided.

$10 for guests or non-members to attend.
Name*

First NameLast Name
MD, DO, Other*
Email*
example@example.com
Employer/Institution*
I am a(n)*

ECMS Member PhysicianECMS Member ResidentMedical StudentNon-Member Physician
Number of Attendees (including yourself)*
Dietary Restrictions
Discussion Topics
Add anything you would like to talk about during the event.

REGISTRATION*

ECMS MEMBER

$ Free Quantity

ECMS RESIDENT/FELLOW/MEDICAL STUDENT

$ Free Quantity

ECMS GUEST

$10.00 Quantity

NON-MEMBER PHYSICIAN

$10.00

Total

$0.00