Change Label Information

Welcome, PAs and thank you for your interest in Health Monitor magazine for your patients.
For your FREE subscription, please complete the information below.

Required information to validate changes:
AAPA Member ID or Customer Number
Zip code where you currently receive your copies.
Email address so we can confirm changes.

Change Label Information: This is the customized information in the "Compliments of" area on the cover of your magazine as in the way on the left.
Personal Message (maximum 24 characters)

Name(required)	First Name    M Last Name Title
Address	ex: 123 Main Street
	ex: Suite
City
State	--- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip

Word Verification:	Type the characters you see in the picture below. Letters are not case-sensitive