Training for Medical Professionals

This sign up form is for the 2018 ArizonaGIA Gang Training for Medical Professionals Conference.  You will receive an email after your application is submitted to confirm it was received on our end.  If you don’t receive the email please contact us.

Please be prepared to make payment after submitting your application. You will be redirected to the payment options automatically.

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Email must be gov't issued
Please do not abbreviate agency name
A department issued identification card is requirement for membership. Please scan or take a clear photograph of your id and upload it here.

Acceptable file types: pdf,gif,jpg,jpeg,png.
Maximum file size: 2mb.