Partner Sponsorship Form

We have a limited number of vendor Tables, Sponsorships are Available. Please call for details.

Your logo will not be added to any print work, just online only if not provided by May 10th, 2024.

Please make your selection and return this form no later than May 10th, along with your
check made payable to:

MSDH Office of Preventive Health, C/O MSCHWA, Charlotte Holly, P.O. Box 1700, Jackson, MS 39216-1700

 

 

CONTACT US: Phone (855) 776-6644 • Fax (855) 776-6644 • Email info@mschwa.org • Website www.mschwa.org

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We have a limited number of vendor Tables, Sponsorships are Available. Please call for details.

Your logo will not be added to any print work, just online only if not provided by May 10th, 2024.

Please make your selection and return this form no later than May 10th, along with your
check made payable to:

MSDH Office of Preventive Health, C/O MSCHWA, Charlotte Holly, P.O. Box 1700, Jackson, MS 39216-1700

 

CONTACT US: Phone (855) 776-6644 • Fax (855) 776-6644 • Email info@mschwa.org • Website www.mschwa.org

Name
Address
Name of Person Attending Conference
Name of Person Attending Conference
Click or drag a file to this area to upload.
Select Partner Sponsorship
Sponsorships come with 6ft table and 2 chairs, full page ad in program book and logo on Banner and social media promotion.
Will you be paying by Check or Credit Card?
We will send an Invoice for Credit Card Payments or you can send a Check to Mississippi State Department of Health Office of Preventive Health, C/O MSCHWA, Charlotte Holly, P.O. Box 1700, Jackson, MS 39216-1700
$0.00