If you have any questions, please contact us at:
(404) 688-1350

SMC logo
February 06, 2012

Health Fair Request Form

Requests must be made at least 4-6 weeks in advance
Agency/Organization Name:
Contact Person Name:
Phone:  Fax:
Adress/Location of Health Fair:
Major cross streets:
Parking info:
Person to report to at health fair:
On-site phone or cell number:
Number of attendees expected:
Description of people attending health fair:(i.e., women, etc)
Estimated number of people who will attend health fair:
Health Fair Date(s)/Time(s):
Which of the following will be provided:
Screenings Requesting?


Please note, there are many variables that determine the availably
of SMC at your event, there are no guarantees for attendance.
You will be notified shortly regarding the status of your resquest.
Thank you.

Phone: 404.564.6901
Fax: 404.564.6985
Gaye Bell, Director of Auxiliary Service

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