NOTE: There is a fee of $75 with this application. Please fill out the form below then pay using the Pay Now PayPal button. Name First Last Email Phone NumberAddress City State School Name Graduation Date MM slash DD slash YYYY MessageCAPTCHA Δ Contact Info LOCATION Headquartered: Columbus, Ohio OFFICE HOURS M-F: 8 AM – 5 PM CONTACT Info@myhim-connect.com Join our email list & stay connected Email NameThis field is for validation purposes and should be left unchanged. Δ
