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2017 Photo Annual Submission Form
To enter, you must be a member in good standing of ASMP's New York chapter, and you must have Professional Member, General Member or Life Member status. (Associate, Affiliate and Student members are not eligible. Go to www.asmp.com to update your membership.)
Email address
First, please upload your image at this link: https://www.dropbox.com/request/yWBRr6X2lUP1ZOQTxoMI please do this before completing the below form.
Required
First Name
Your answer
Last Name
Your answer
ASMP Member Number
Your answer
Address
Your answer
Phone Number
Your answer
Photo Credit
Your answer
A few words about this picture
Your answer
Your Website
Your answer
Required
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