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 CodePhone Number
AMT ID*
School Name*
Organization ID*
Number of Students in the Program*
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please send the following:

AMT Edge Student Readiness Program Stickers*AMT Edge Student Readiness Flyer*Student Flyer: Steps to Get Certified*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 flyers 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.

For questions, please email accountcare@americanmedtech.org.
Please verify that you are human*
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