AMT Educator Material Request Form

AMT Educator Material Request Form

Please complete the form below to submit your request for AMT materials to encourage certification. All are full-color, high-quality print materials especially for students.
Name *

First Last
Email *
Phone number

Area Code Phone Number
AMT ID *
School name *
Organization ID
Number of students in your program *
Shipping address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please send the following:

AMT Edge Student Readiness Program Stickers* Student Trifold Brochures* Poster: Medical Assistant (RMA) Poster: Phlebotomy Technician (RPT) Poster: Medical Laboratory Technician (MLT) Poster: Dental Assistant (RDA) Poster: Medical Administrative Specialist (CMAS)
*Number of stickers and brochures sent will be determined based on the number of students in your program.
Should be Empty: