Join an
NJ-ACEP Committee
Please submit the following form to join one or more NJ-ACEP committees. Email will be the primary method of communication between committee members.

Name:

Phone Number:

Email:

I am interested in joining the following committee(s):

Communications
Education
Residency
EMS/Trauma
Government Affairs
STATPAC
Membership
Practice Management
Research
Pediatric
Geriatric
Public Relations

Comments:

 

 


Click here for a printer-friendly PDF version of this form [20KB], which may be sent via fax to (609) 392-2664.

 
 
 
 
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