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<h2>Contact AAPS</h2>
5550 West Executive Dr., Suite 400<br />
Tampa, FL 33609<br />
(813) 433-2277<br />
Fax - (813) 830-6599 <br />
<a href="http://www.mapquest.com/maps/map.adp?searchtype=address&amp;country=US&amp;addtohistory=&amp;searchtab=home&amp;formtype=address&amp;popflag=0&amp;latitude=&amp;longitude=&amp;name=&amp;phone=&amp;level=&amp;cat=&amp;address=5550+West+Executive+Dr.&amp;city=Tampa&amp;state=FL&amp;zipcode=33609" target="_blank"><font color="#336633">Click for a Mapquest&reg; map</font></a> <a href="http://www.aapsus.org/downloads/AAPS_Directions.pdf" target="_blank"><font color="#336633">Click for a local map</font></a>
<p style="text-align: center">Items in <font color="#ff0000">red</font> are always required.</p>
<p style="text-align: center"><b>If you need information about Board Certification or Recertification please visit <a href="http://www.abpsga.org/">ABPS</a></b></p>
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                <td align="right">Designation:</td>
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                <td align="right"><font color="#ff0000">Address 1:</font></td>
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                <td align="right"><font color="#ff0000">City:</font></td>
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                <td align="right"><font color="#ff0000">State:</font></td>
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                <td align="right"><font color="#ff0000">Zip Code:</font></td>
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                <td align="right">Fax:</td>
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                <td align="right"><font color="#ff0000">Academy:</font></td>
                <td align="left"><select name="items[Specialty]">
                <option value="" selected="selected">-- Select One --</option>
                <option value="Anesthesiology">Anesthesiology</option>
                <option value="Emergency Medicine">Emergency Medicine</option>
                <option value="Family Practice">Family Practice</option>
                <option value="Geriatric Medicine">Geriatric Medicine</option>
                <option value="Internal Medicine">Internal Medicine</option>
                <option value="Orthopedic Surgery">Orthopedic Surgery</option>
                <option value="Radiology">Radiology</option>
                <option value="Surgery">Surgery</option>
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                <td align="right"><font color="#ff0000">I am interested in:</font></td>
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                <option value="" selected="selected">-- Select One --</option>
                <option value="Academies of Medicine">Academies of Medicine</option>
                <option value="Auxiliary">Auxiliary</option>
                <option value="Auxiliary Scholarships">Auxiliary Scholarships</option>
                <option value="Awards Information">Awards Information</option>
                <option value="CME">CME</option>
                <option value="Governmental Affairs">Governmental Affairs</option>
                <option value="Meetings">Meetings</option>
                <option value="Membership">Membership</option>
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                <td align="center" colspan="2">
                <p>In the space below please provide your comments or question(s) and how you learned of AAPS.</p>
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