WRNMMC IM Holiday Party RSVP
IMPORTANT:  We will not be collecting payment at the door this year.  You have two options to pay.  You may give a check to the social chairs (Laura Gilbert, Jed Mangal, Andy Miller) or the chiefs (Ben Vipler, Adam Barelski) made out to WRBIM.  Alternatively, you may use our paypal link to pay:

paypal.me/WRBIM


If you use the paypal link, please include a note with your name, you status (resident or staff), and for whom you are RSVPing.  This is the only way we can track the money you are providing.  

As a reminder, prices are as follows:
$50 - residents and their guests
$75 - fellows, staff physicians, and their guests
$150 - residents who have yet to pay dues (their guests would still be $50)


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Your name *
Last, First
Your title/position *
Guest #1
Last, First
Guest #2
Last, First
Guest #3
Last, First
Guest #4
Last, First
Guest #5
Last, First
Method of payment *
I gave my payment to ____________. *
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