Henry Schein, Inc. - Athletic Supplies Letter of Participation

Note: This letter of participation may be completed only by representatives of E&I member institutions. To determine whether your institution is a member, visit our Member Locator. To join E&I, complete a Membership Application.

My institution, (to include all ordering locations) listed below, wishes to participate in the E&I Contract with Henry Schein, Inc. - Athletic Supplies. As of this date, please code all of my purchases to contract E&I CNR01262.

If you have any questions about this form or the E&I Master Agreement with Henry Schein, Inc. - Athletic Supplies for Athletic Training Supplies, please contact your Member Relations Representative or Mike Costigan, Portfolio Support Executive - Science by email at mcostigan@eandi.org.

By completing the form below, your Institution is requesting to be enrolled in the program.

* indicates a required field.

Institution Information
Billing Information