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Request Us at Your Health Fair or Community Event

  1. Event Information
  2. Location:
  3. Expected Participants:

    Check all that apply

  4. Type of Event:
  5. Is there an associated fee/cost?
  6. What education/information services do you need for your event offered by MCHD?*

    Check all that apply

  7. Leave This Blank:

  8. This field is not part of the form submission.