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Partnership Application


Atour (AIM)
P.O. Box 805471
Chicago, Illinois 60680 U.S.A.

General Information

Referred by:  
Partnership:
Assyrian: YesNo
Full name:
Email:
Website URL:
(if any)
Company name:
(or organization)
Telephone:
Mobile Telephone:
Full address:
(Company or
 Organization
Number, Street
City, State, Zip,
Country)
Profile Information:
(Please tell us
about your company
or organization)

Attachment Information  (company or organization's logo, brochure and related information)

Files: 100 MB maximum JPG, GIF, PNG, WEBM, OGV-A, MP4, MP3, ODT, DOC, EPUB, PDF, RAR or ZIP files
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Anti-SPAM Information  (required)
No SPAM!

NO SPAM: This secure communications feature is provided for individuals and organizations to send Assyrian-related information.  You agree not to send automated or manual SPAM, sales or any other form of advertisement messages. By clicking OK send Partnership Application, you agree to our guidelines and to be held responsible for your actions.

 Anti-Spam Information
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  This procedure may take several minutes to receive a confirmation message, depending on the size of the attachment file(s), if any, and your Internet connection.  Thank you for your patience during this process.
 

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