We are honored that your organization wants the Shawano-Menominee Counties Health Department to attend your event or hear from us! We often participate in various Health Fairs and Community Events. Please fill out the survey below to provide more details regarding your organization and event.

 

* Name of Organization:
* Address/City/State/Zip:
* Organization's Website:
* Contact Name:
* Contact Phone Number:
* Contact's E-Mail:
* When is the event?
* How long is the event?
* What is the mission or goal of your organization?
* What sort of attendance/participation are you looking for?
* What topic are you looking for the Health Department to discuss/present/learn?
* Required Field