Mailing List Purchase Form

AMT Mailing List Purchase Form

Please complete the information below to request the AMT mailing list. AMT reserves the right to approve or deny any request. Fee: $200/1000 names. Approximate quantities are indicated below. Only electronic files will be provided, in Excel format. For additional details and fees, please email mail@americanmedtech.org.
Contact name:*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
1. What is the intended use of this mailing list? AMT must approve all materials; please submit a sample of the mailing piece you will be using for this one-time mailing list with the submission of this form.
Mailing details*
2. Type of certification list requested (approximate number listed in parenthesis. Multiple groups can be selected)

Medical Assistants (57,690)Medical Laboratory Scientists (9,591)Medical Laboratory Technicians (2,343)Medical Admin Specialists (321)Phlebotomy Technicians (6,200)Allied Health Instructors (955)Office Laboratory Technicians (199)Dental Assistants (500)Patient Care Technician
3. Specify state(s)
Please upload a sample of the mailing you wish to use this list for (PDF or Word Document)*

Browse Files

Cancelof
By submitting this form, I am agreeing to electronically sign this document and assure AMT that the mailing list will not be sold or given to another agency or organization and is for the one-time use of the above-mentioned purchaser.

No payment is needed at this time. AMT staff will contact the submitter with cost and payment information within 2-3 business days.
Please verify that you are human*
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AMT Mailing List Purchase Form