ASHI One-Time Use Registration List Agreement

ASHI One-Time Use Registration List Agreement
Please review the below terms of the agreement:
- ASHI will provide the registration list in an electronic format to include names, title, company, address, and contact information only. This will only include attendees who have selected to share their contact information.
- This list is for one-time use only.
- The names furnished are for a one-time use only and may not be copied, duplicated or reproduced in any form.
- We ask that the Excel file be deleted from any directory/hard drive after the one-time use.
- Violations of this policy may result in fines due to ASHI or prohibition of access to this list in future years.
Name *

First Name Last Name
Organization or Company *
Email *
example@example.com
I consent that I have reviewed the terms of agreement and will follow the guidelines as outlined above. *
Date *

Month Day Year
Date
Electronic Signature *

Clear
Questions?

Contact Elizabeth Hogan at ehogan@ashi-hla.org
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