Communications - Community Health Center Association of Mississippi

Health Center Communications Requests (external)

Please fill in all relevant information. All requests should be for minor communications projects, including, but not limited to, small design requests, minor copywriting, Facebook advice, review of communications plans, etc.

Please allow 72 hours minimum for a follow up to the request.

Name*
First Last
Email Address*
Associated CHC*
Nature of Request*
When would you like it finished by?*
MM slash DD slash YYYY
What special considerations are there for this request?
Any language to be avoided?
What would help this form be more useful to you?
Send me a copy of my response.*
- Yes
- No
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