Promotional Materials Request Form

AVL Promotional Materials Request

If you would like to request AVL promotional materials, please use this form. Materials will be mailed to the address that you provide.

Your Contact Information

Please provide good contact information and a good mailing address.

Name *

Please provide your name.

Institution

Please provide the name of your Institution. (If applicable)

E-Mail Address *

Please provide a good contact e-mail address.

Confirm E-Mail *

Please confirm your e-mail address.

Phone

Please provide a contact phone number. (Optional)

Mailing Address *

Please provide your mailing address.

Requested Materials

Material Type *

Please select the promotional material(s) that you would like to receive.

Bookmarks

Hand Sanitizer

Lanyards

Mousepads

Notepads

Pens

USB Drive

Quantity *

Please enter the quantity.

Additional Comments

Please enter any additional comments. (Optional)

Leave this field blank

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