INVITE FMC TO YOUR COMMUNITY EVENT Organization Name * Event Point Person Name * First Name Last Name Email * Phone * (###) ### #### Name of Your Event * Date of Your Event * Time of Your Event * What is the objective of having FMC present at your event/what do you need from FMC for the event? * What type of request are you making to FMC for the event? * First Aid Support Full Medical Care/Vaccination/Testing Community Engagement (Non-Medical) Other What type of FMC Set-Up will be needed to best serve your event if approved? * Table(s) and Banner(s) Tent with Table(s) and Banner(s) Community Health SUV Mobile Unit Other Is your organization presently an FMC partner? * Yes No Share anything else about your event? Thank you!
