AZBSN COVID-19 Digital Access Task Force Collaborators Contact Info
Since the creation of the Task Force we have added many new people to our Team. Some of you requested participation, some were referred by others. Anyway, to make a long story short, we do not have complete contact information about you. In order to encourage greater collaboration, please take a couple of minutes to fill out this Google Form. We would like to start sharing this information with the Task Force. Your mobile number would be helpful to enable us send occasional text messages. It would be great if you also provided a brief description about you and your organization.
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First Name *
Last Name *
Organization *
Title *
Email *
Phone Number *
Mobile
About You and Your Organization
Organization Web Site
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