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: Patient Care Technician (PCT) Poster: Medical Laboratory Technician (MLT) Poster: Medical Administrative Specialist (CMAS) Poster: Dental Assistant (RDA)
*Number of stickers and brochures sent will be determined based on the number of students in your program. Please sure to verify the number of students you have in your program before hitting the submit button.
Should be Empty: