ACAAI Online        Joint Sponsorship Application

Please provide the following information about you and your Organization and the program you wish to have accredited. Note, all information is required and confidential. Each activity submitted must be a minimum of 2 credits to be considered for certification by the ACAAI CME Committee. Information must be submitted a minimum of 3 months in advance of the activity date.
Organization Information
Name:
Address:
City:   State:     Zip: 

Phone:

      Fax:  
 
Program Information

Title:

Dates:

 From:       to:     * format mm/dd/yy

Location:
 
Contact Information

Name:

E-mail:
Address:
City: State:     Zip: 

Phone:

      Fax:  
 

Your request will be processed in the order in which it is received. Normally, a request will be processed within two working days but may take up to a week.

American College of Allergy, Asthma & Immunology
85 West Algonquin Road, Suite 550
Arlington Heights, IL 60005
Phone: (847) 427-1200