Email Blast Request Form Please enable JavaScript in your browser to complete this form.Requester Name *FirstLastPhone *Email *Date / Time for email to be sentDateTimeIf date/time is ASAP, just leave blank.Email Blast Target CriteriaMembership Group *AMGFEMGGreat Lakes & GulfOffshorePilotPMROtherIf you selected Other Membership Group, please specify: *Membership Type *AssociateApplicantMemberPermitOtherIf you selected Other Membership Type, please specify: *Membership Status *ActivePensionerOtherIf you selected Other Membership Status, please specify: *Additional Criteria i.e. deck licensed, engineer licensed, current employer, employed within the last # months/years, any other special cases Name Email Other Email Blast DetailsPlease fill out the following EXACTLY as you would like it to appear in your email blast.Email Subject LineEmail Blast BodyImages can be displayed in the body. PDF attachments will be clickable links i.e. "Click here to view..."Attachments Click or drag files to this area to upload. You can upload up to 10 files. Additional info/notesSubmit
