PSS Consultants and Vendor Directory Order Form

Please complete the following form. Once we've received your information, we will reach out for payment information.

If you have any questions please reach out to Laura Cilano Garcia, lcgarcia@aiha.org.

First Name (Primary Contact)

Last Name (Primary Contact)

Email (Primary Contact)

Phone (Primary Contact)

II. Listing Details (For External Use Only)

Business Name

(Please indicate exactly how it should appear in directory)

Business Address

Business Phone

Business Email

Business Website

Company Description

(50 words maximum)

Listing Option(s)

Basic Listing - $399 Member/$499 Non-Member

Basic Listing Add-On: Quarter Page Advertisement - $349

Quarter Page Advertisement Only: $499

Do you have a current PSS Membership?

Yes

Does your organization currently employ a staff member who holds a CPPS credential?

File Upload: Please Attach Digital Assets

• Company Logo – 125x40 px

• Quarter Page Ad – 270x352 px

Artwork should be in portrait orientation and RGB in JPG or PNG format.

Drop your files here

Send me a copy of my responses