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CertificateofEntry RegionalAssociationContacts*
Authority MailingAddress City/ST/ZipCode
PosterContestLocations(checkallthatapply)
School Community/YouthCenter Church HousingOfficeSafetyCamp Boys&GirlsClub Other
Totalnumberofpostersreceivedbythehousingauthorityforeachcategory
K-3: 4-6: 7-8: Total:
Numberofposterssubmittedtoregionalhousingassociation:
ListALLindividualswhohavecoordinatedthepostercontest(s):
Coordinator1FullName
JobTitle
EmailAddress
TelephoneNo.
Coordinator2FullName
JobTitle
EmailAddress
TelephoneNo.
Coordinator3FullName
JobTitle
EmailAddress
TelephoneNo.
Coordinator4FullName
JobTitle
EmailAddress
TelephoneNo.
Coordinator5FullName
JobTitle
EmailAddress
TelephoneNo.
Coordinator6FullName
JobTitle
EmailAddress
TelephoneNo.
Region1:UnitedSouth&EasternTribesSusanWicker(251)368-9136
Region2:GreatLakesRegionalHsg.Assoc.KevinFitzgibbons(847)894-1113www.GLIHA.org
Region3/5:UnitedNativeAmericanHsg.Assoc.JasonAdams(406)675-4491www.UNAHA.org
Region4:SouthernPlainsIndianHsg.Assoc.KellyCook(580)421-8800ext.8880www.SPIHA.org
Region6:NorthwestIndianHsg.Assoc.JolieEstes(425)789-1075www.NWIHA.org
Region7:Nevada/CaliforniaIndianHsg.Assoc.PhilBush(530)596-4127www.NV-CAL.org
Region8:SouthwestTribalHsg.AllianceMichaelChavez(505)782-4550
Region9:Assoc.ofAlaskaHsg.AuthoritiesColleenAnshkin(907)330-8398www.AAHAAK.org
*DeadlinestosubmityourentriestoRegionalAssociationsvary.Contactyourregionalrepresentativetoverifytheduedatesbeforeyouholdyourcontesttoensureyourpostersaresubmittedontime.
FaxcompletedformtoAMERINDRisk,Attn:SafetyTeamat(800)388-7475