Company Name ________________________ ______________________________________ AIHA Member Name(s) and Number(s) (Required to be listed. All must be a current national member.) ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Please Specify o Residential o Commercial o Both Address _______________________________ ______________________________________ Phone ________________________________ Toll Free _______________________________ Fax __________________________________ E-mail ________________________________ Web address __________________________ Contact Name __________________________ Contact E-mail _________________________ (This person will receive receipt and renewal information only. They do not need to be a member and will not be listed in the publication.) Company Information If you are listing multiple office locations, please make a copy of this form and fill one out for each location.
Specialty Code List Please select all that apply – no limit on number!
___1. Aerosol and Airborne Particulate Monitoring ___2. Asbestos, Lead and Dust ___3. Biological Monitoring ___4. Biosafety ___5. NEW: Cannabis ___6. Consulting ___ 7. COVID ___8. Education and Training ___9. Emergency Preparedness and Response ___10. Environmental Protection and Monitoring ___11. Equipment Rental and Repair ___12. Ergonomics ___13. Exposure Assessment ___ 14. Gas and Vapor Detection ___15. Hazard Communication ___16. Hearing Conservation and Noise Reduction ___17. Indoor Air Quality ___18. Labs – Health and Safety, Testing ___19. Legal and Expert Witness ___20. Mold ___21. NEW: Museum/Cultural Heritage/Preservation ___22. Occupational Epidemiology ___23. OHS Management Systems, Auditing and Compliance ___24. Personal Protective Equipment ___25. Publications and Trade Magazines ___26. Radiation Protection and Monitoring ___27. Real-time Detection Services and Direct Reading Instruments ___28. Regulatory Compliance ___29. Respiratory Protection ___30. Risk Assessment and Management ___31. Safety ___ 32. Testing, Certification and Credentialing ___33. Thermal Stress Protection and Monitoring
___34. Toxicology ___ 35. Ventilation
There is no better way to target your advertising. AIHA’s Consultants Digital Directory & Online Listing
The American Industrial Hygiene Association 3120 Fairview Park Drive, Suite 360 | Falls Church, VA 22042 | (703) 849-8888 Any questions? Contact Wanda Barbour at wbarbour@aiha.org or call (703) 846-0782
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