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Health Fair Request Form

Thank you for your interest in having the National Kidney Foundation of Michigan present at your health fair. We request at least four weeks notification to consider a request. Someone will be in contact with you within 7 business days of your request.

MM slash DD slash YYYY
MM slash DD slash YYYY
Begin Time:
End Time:
Site Type:
Requested Activities:
Presentation (if any):
Screening (if any):
Requested Materials:
This field is for validation purposes and should be left unchanged.