CUAH Network Member Information

Please complete this form to submit your organization's information so we may add it to the CUAH Network Members page of our website. In addition to filling out this form, please email your organization's logo, preferably in .png format, 72ppi (pixels per inch), and square shaped (so nothing gets cut off) to, subject line "[Your Organization Name] - CUAH Member Logo." We cannot list your organization on our website without all the requested information.

(If applicable.)
(240 CHARACTERS MAXIMUM. You may use this website to calculate the number of characters:
(This can be your organization's Facebook page if you do not have a website.)
(If applicable. CUAH will like your organization on Facebook.)
(If applicable. CUAH will follow your organization on Twitter.)
(If applicable. CUAH will follow your organization on Instagram.)