"Be worthy to Serve the Suffering" Alpha Omega Alpha Honor Medical Society Key Background

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New Member Registration

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Contact Information

National Office
12635 E. Montview Blvd., Suite 270
Aurora, CO 80045
P: (720) 859-4149
F: (720) 859-4158
E: info@alphaomegaalpha.org

Administrative Recognition Award

Please note on the data entry form that this information is to be submitted at least ONE MONTH PRIOR to the presentation date to allow for vendors turn-around times for the certificate and gift card (all fields are required). Application is not complete until you press submit button.

Date award to be presented *
Chapter Information
* Councilor

Contact Information
Contact First Name
Contact Last Name
Member ID (If s/he is member, please enter the member id. See “Locate a Member” at left sidebar.)
Contact Email
Contact Phone
Ship-to name
Shipping address for the award
(no shipments made to P.O. boxes)

Administrator Information
First Name
Last Name
Years of Service as an AOA Administrator
(Must be at least 3 years)
Description of activities performed for AOA