First Name*Last Name*Role*Organization / Health Region / Company*Email* Enter Email Confirm Email Phone Number*Intended Use*(Brief description of how you intend on using the HSAS logo, and how use of this logo is relevant to the HSAS Mission or the Union’s business)Colour*OriginalBlack & WhiteFile Format*JPEGPNGVectorTIFFHSAS Logo Terms & Use: HSAS is the owner of the HSAS logo Logo requests may take 1-2 days to process HSAS reserves the right to decline your request HSAS reserves the right to request a copy of the material(s) that feature the HSAS logo Unauthorized reproduction and/or distribution of the HSAS logo is strictly prohibited If your request is approved - Do not change the aspect ratio of the HSAS logo If your request is approved - The logo must be used in the capacity described in how you intend on using it. If your request is approved - The logo may not be used, without permission, for any other project or similar use If your request is approved - Use of the HSAS logo must directly support or align with the HSAS mission - link to History & Mission page, bylaws and/or policies - link to Bylaws & Constitution page * I agree to the above Terms & Use of the HSAS Logo* * The information I provided is true and accurate* NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.
