Congress of Delegates Resolution Submission

Please fill out your contact information below before August 1 in order to be considered for the next AAFP Congress of Delegates meeting.

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* 1. First Name

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* 2. Last Name

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* 3. Credentials

MD

DO

FAAFP

Other (please specify)

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* 4. Address Line 1

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* 5. Address Line 2

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Preferred Phone Number

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* 10. Email Address

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* 11. Resolution Title

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* 12. Resolution Author

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* 13. Description of Resolution

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* 14. Why is this resolution important to family physicians?

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* 15. Upload Resolution in a Word or PDF Document

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 16. Upload Supporting Documentation

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.