Communications and Marketing Request Form-External - Community Health Center Association of Mississippi

Email

This field is for validation purposes and should be left unchanged.

Date of Request(Required)

Due Date(Required)

This is the date request is needed for creative asset delivery or marketing campaign launch.

Email(Required)

Name of Health Center(Required)

Budget(Required)

Meeting Requested (yes or no)

Print Quantity (please designate product and quantity for each item ordered e.g. Booklet - 50; Flyer-100)

Description of Request

This includes project needs and the creative assets that are requested. Please include the camera -ready copy for the requested print job.

File

Max. file size: 256 MB.

CAPTCHA

Communications & Marketing Services Request External