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Emergency Medicine Action Fund

Contribution Form

Complete this contribution form and mail it to:

Emergency Medicine Action Fund
PO Box 619911
Dallas, TX 75261-9911

Fax it to 972-580-2816 or send a pdf by e-mail.

Contributions can be made as an individual, as part of a coalition combining resources, or as a physician group.

Please call 800-798-1822 to make a contribution over the phone or for questions about the contribution process.

Or contribute now online by clicking this button.

Contribute Now Button

Thank you for helping to influence the regulatory process and shape the future of emergency medicine.


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