AMPAC Advocate Program

Peer Influence. Deeper Engagement. Greater Impact.

The AMPAC Advocate Program is a peer-to-peer initiative that expands PAC participation through targeted, personal outreach. Leveraging trusted physician leaders and association executives, the program builds credibility, strengthens donor trust, and drives engagement. Advocates support federal fundraising efforts by encouraging peer contributions and conducting direct outreach—helping grow participation and advance the AMA’s advocacy priorities.

Advocate Interest Form

Thank you for your interest in becoming part of the AMPAC Advocate Program. Please complete this form with your information and any relevant fundraising experience, and a member of the AMPAC team will follow up shortly.

First

Last

Suffix

Address

City/Town

State/Province

ZIP/Postal Code

Email

Phone

Please select all that apply for your PAC fundraising experience below:

Current or former PAC chair

Currently serve or have served on a PAC board or committee

Served on a party committee (local/state/national)

Leadership-level PAC donor (Capitol Club, etc.)

Other

Please specify you relevant experience