AHA Advertising Submission Form
Advertiser Institution *
Advertiser Department
Contact Name *
Contact Email *
Contact email is required for AHA use only, in case we have questions about the ad. It will not be listed in the ad itself. Upon receipt of this form, a confirmation message will be sent to this address.
Contact Phone *
Publication *
Note: if you would like to purchase ads on multiple AHA platforms, please complete ad requests for one platform at a time; you will then be able to navigate to ad placements on additional platforms.
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