Registration Form -
Happy Hour & Medical Professional Financial Advocacy Workshop

Please fill out the below information if you would like to register for this event.

May 19th, 5-8pm

Rochester Academy of Medicine

1440 East Avenue

Rochester, NY 14610

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* Your first and last name (with medical designation)

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* If you are bringing a guest, please tell us their and last name (with medical designation)

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* Your email address that we can send event details to:

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* (if applicable) Your guests email address that we can send event details to:

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* We will be serving food at this event. Please let us know any dietary restrictions you or your guest may have have.