CONFIDENTIALITY OF INFORMATION:
AIPS will hold this information in its database. This information may be accessed, reviewed and used for administrative purposes only.
Tips for completing this form:
Hand-write your information cleary in blue or black ink onto a printed form and submit it by postal mail.
Type your information into the PDF. If you have PDF-editing software like Adobe© Acrobat© or Foxit© Reader, you can save your data. Otherwise, you will only be able to type your information, then print out the form and send it to AIPS.