Partnership Opportunity Questionnaire

Partnership Opportunities With AMWA
To help us better assess a potential partnership opportunity, would you provide the information requested below? We will repond as soon as possible, but please note if a request requires committee or board input, it may take us a couple of weeks. Thank you!

Eliza Chin, MD
AMWA Executive Director
Name

First NameLast Name
Email
example@example.com
Company Name
Two to three sentence description of your company:
Proposal for working with AMWA:
Fees involved (or fee range):
Other comments:
Should be Empty:

Partnership Opportunities With AMWA