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Virginia Chapter Electronic Abstract Form

Deadline - Monday, October 1, 2012
WARNING: This form is programmed to reject all submission attempts after Midnight, Monday, October 1, 2012

Abstract Title*

Please delete the sample abstract below and type or copy your abstract in its place. Limit your submission to 450 words or less. Type single-spaced. For electronic submission, you do not need to stay within the borders. The abstract form does not accept graphs, charts, tables, etc.*

Submitted for*
First Author*
First Name*
Last Name*
ACP #*
(If you have applied for membership, have not yet received your ACP#, please enter 'pending'.)
Address 1*
Address 2
City*
State*
Zip*
Home Phone*
E-mail*
Additional Authors (please list, if any)
Program Director's First Name*
Program Director's Last Name*
Program Director's Email*
Program Director's Phone*


If you have questions about the Abstract Competition, please contact Ann Tennett at astacp@hotmail.com.

Page posted: 7/26/2012

Contact Information

Lisa Ellis, MD, FACP
Governor, Virginia Chapter

Ann Tennett
Executive Director
E-mail: astacp@hotmail.com
Phone: 540-631-0426