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State Alliance Webpage Request
The AMA Alliance would like to provide a simple landing page with basic contact information for State Alliance groups that do not have a website. Please complete this form to start the process.
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* Indicates required question
Email
*
Your email
Primary Contact Name
Your answer
Primary Contact Phone Number
Your answer
Official Name of State Alliance
Your answer
Alliance Acronym
Your answer
Alliance Physical Address
Your answer
Alliance Phone Number to be published (if applicable)
Your answer
Alliance Primary Email Address
We encourage groups to create a generic email like
statealliancename@gmail.com
. This can easily be forwarded from year to year to the new leaders.
Your answer
Secondary Email Address
Your answer
Facebook Page Address
www.facebook.com
/uniqueurlforpageorgroup
Your answer
Facebook Group Name (if applicable)
Your answer
Other Social Media Links
Your answer
Do you have a logo?
We would like to personalize the page with your logo. Please be prepared to email a jpeg or png to info@amaalliance.org.
Your answer
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