Annual Business Meeting


*Required
Title:
*Name:
Telephone:
*Email:
Guest Name:

Meal Choice:  Please Select One
Chicken   Gluten Free   Vegetarian

Guest Meal Choice:  Please Select One
Chicken   Gluten Free   Vegetarian

WDMS Members - No charge
WDMS Alliance Members - No charge
Students/Residents - No charge
Non-Members/Guests - $50
Table of 8 - $400

My check will be mailed in the amount of $

Worcester District Medical Society
Mechanics Hall
321 Main Street, 2nd Floor
Worcester, MA 01608

Note: if you are paying by credit card (Visa or MC)
please call 508-753-1579 or email wordmsa@massmed.org

 

 

 

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Worcester District Medical Society
Mechanics Hall, 321 Main Street
Worcester, MA 01608

Tel 508-753-1579  -  Fax 508-754-6246
Questions - Email info@wdms.org

All Contents  2014 Worcester District Medical Society