By filling out this form, you allow AASHPI to use the personal information provided below as well as the information (name, address, and contact number) of the school you are connected with. It will serve as your consent for AASHPI to utilize that information for business-related transactions, communication purposes and other process execution including delivery of notices, services and/or third-party relationship management. Rest assured that all information will be treated accordingly.
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Email *
Name of School/Company: *
School Address: *
Founding Year:
Telephone Number:
Fax Number:
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