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Would you like your picture up on IAHCSMM's main page?

We are requesting photographs of CS Techs, Supervisors and Managers to put up on our rotating flash image viewer on the IAHCSMM's home page. We'd like nice, clean, sharp, well-lit pictures of CS/MM people. Typically, one to two people in their work environments would be ideal.

All photographs chosen will be at the discretion of IAHCSMM and we hope to have fresh pictures rotated on a regular basis.

A digital photograph may be submitted via the form below (only one photograph per form):

 
 
Name of person submitting photograph:
My e-mail address:
Name of person(s) in photograph:
Name of Hospital/Institution:
City/State/Zip of Hospital:
Attach photo file here:

I hereby give the International Association of Healthcare Central Service Materiel Management and their legal representatives and assigns, the right and permission to publish, without charge, the photograph attached below. Also, if there are persons other than myself in the photo submitted, I have also received their permission to publish the photo. I hereby warrant that I am over eighteen (18) years of age, and am competent to contract in my own name.

Yes, I agree

 
     
Note: Depending on size of attachment, form might take a while to process --
do not click submit button again.