Community Event Request for Participation

South Jersey Healthcare is dedicated to improving the health and well-being of everyone in our region. That’s why we participate in hundreds of events, health fairs and community functions every year to educate our neighbors about our services and the importance of good health.

If you would like to request representation from South Jersey Healthcare at a community event, please fill out the form below. While we would like to participate in every community function, our staff must choose between thousands of events throughout the region. The information you provide to us on this form will help us to select the programs where our staff can make the greatest impact on improving the health of our community.

  
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Name of organization:
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Address:
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Phone number:
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Contact name:
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Email:
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Name of event:
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Date of event:
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Time of event:
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Location of event
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Target audience:
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Anticipated attendance:
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Vendor fee:
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How will you market and drive attendance to event:
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Indoors or outdoors:
If outdoors, is there a rain date?
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Tables, chairs and electricity provided:
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Why are your requesting participation from Inspira Health Network:
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