AAHM Speakers Bureau Registration

The American Association for the History of Medicine is offering a speaker’s bureau to its members. This will provide a database which enables individuals, organizations and/or the media to find experts in the field of medical history from among our members.

Last Name *
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First Name *
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Middle
Middle name or initial
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Preferred Contact Information *
List email or telephone number below. If you wish to list additional contact information please include it below
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Other contact information
List phone or alternate email, if you desire
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Education *
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Institutional Affiliation
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City of residence or city of institutional affiliation *
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State of residence or institutional affiliation *
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Country of Residence *
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