2026 ECMS Medical Student/Resident Social Registration

Registration
Join us for the Erie County Medical Society

Medical Student/Resident Social Mixer

Date:

Friday, August 21, 2026

Time:

6:00 PM- 9:00 PM

Location:

The Brewerie at Union Station
123 West 14th Street
Erie, PA 16501-1717

Deadline to Register is FRIDAY, AUGUST 14, 2026 at 4:00 PM
Name

First NameLast Name
MD, DO, Other
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Please list your dietary restrictions:

Guests

Please add your guest(s) below.
Will you be bringing any guest(s)?
Number of Guest(s)
Guest's Name(s)
Separate with a comma if more than 1.
Guest Dietary Restrictions:
List name of guest with their restrictions (if none, leave blank)

Check Out & Payment

ECMS MemberFree

ResidentsFree

Medical StudentsFree

Non-Member$15.00

Guest $15.00

Add your plus one

Quantity

Total $0.00

Credit Card

Should be Empty: