Materials Request Form - American Scientific Affiliation

Materials Request Form

The form below should be used to request materials from the ASA office for chapter/affiliate meetings or other ASA marketing opportunities.

Please be sure to indicate the quantity that you are requesting. If there is a charge for items (noted on form), you will receive an invoice for payment prior to the items being shipped.

If you have any questions, please email asa@asa3.org.

First Name *
Last Name
Email Address
Phone
Chapter Name
Date materials needed:
ASA StickersIndicate number requested
ASA Magnetic ClipsIndicate number requested
Membership CardsIndicate number requested
Membership BrochuresIndicate number requested
BookmarksIndicate number requested
Small ASA Post-ItsIndicate number requested
Issues of PSCFIndicate number requested
Newsletter Samples
Impact ReportsIndicate number requested
Least of These BookletsIndicate number requested
Legacy Booklets/pledge cards/envelopesIndicate number requested
The Giver and the Gift booksIndicate number requested
ASA Sign-in SheetsIndicate number requested
ASA 2026 PostcardsIndicate number requested
ASA Winter Symposium PostcardsIndicate number requested
ASA Visors ($20 each)Indicate number requested
ASA Ballcaps ($20 each)Indicate number requested
ASA Travel Mugs ($25 each)Indicate number requested
ASA T-shirts ($25 each)Indicate number and sizes requested
ASA Polo Shirts ($30/blue $35/white)Indicate sizes and number requested

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