Become an ACIC Member At the Allegheny County Immunization Coalition, our mission is “To Promote Immunizations Across the Lifespan!” View/download ACIC Bylaws Please complete all fields below and submit to register as a member of the Allegheny County Immunization Coalition. Registration Last Name: First Name: Credentials: Address: City: State: Zip Code: Your Phone Number: Your Email: Your Title: Organization Name: Organization Address: City: State: Zip Code: Phone Number: Organization Website: As an ACIC member, I will endeavor to... • Read and adhere to ACIC Bylaws • Support ACIC's Mission • Participate in ACIC activities and meetings I Agree to Support ACIC's Mission YesNo
