Support Group Listing
Filling out this form is a requirement for being listed on the AHEM website, but does not guarantee a listing. Starred fields are required.
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Group Name *
Does your group maintain a website, online forum, Facebook or other social media page?
 *
If your group does have a website, online forum, Facebook or other social media page, enter the URL here:
Do you or will you link to http://www.ahem.info on your group's site?
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Email address to be listed on AHEM website if different from contact person's personal email address:
Contacts' first names and email addresses are for the listing on www.ahem.info, unless a different email address was provided above. Town will be used to geographically pinpoint the group. Street addresses and phone numbers will not be listed online, but are required for our records.

Contact persons' email addresses will be added to the AHEM announcement-only email list so that you will receive our emails and can forward them to your group members.

IMPORTANT: AHEM cannot list a group if the only email we have to communicate with you is an group moderator email address, such as "owner@yahoogroups.com." If you prefer a moderator email address to be listed for the support group on the AHEM website, that's fine, but a contact person MUST include another email address for AHEM to use to communicate with you.

Contact person 1 Full Name:
 *
Contact person 1 Street Address
 *
Contact person 1 City/Town, State, Zip
 *
Contact person 1 Email Address
 *
Contact person 1 Phone Number
 *
Contact person 2 Full Name
Contact person 2 Street Address
Contact person 2 City, State, Zip
Contact person 2 Email Address
Contact person 2 Phone Number
Primary geographic area served (please be as specific possible):
 *
Who is eligible to join?
 *
How does one join the group? What is the process?
 *
Is there a membership fee?
 *
If yes, how much is it?
Does the group have a special focus (i.e. shared religion, common homeschooling style)?
 *
If yes, please specify:
Comments, clarifications, etc:
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