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Submit Your Request.

Please complete the form below, and click SUBMIT. All request forms must be submitted at least 60 days prior to the event. Submission of this request form does not guarantee participation. You will be contacted by Diabetes Mini Expo staff within one week of your request. If you have any questions, email us at support@diabetescaresolution.com

Requesting For

Table/information booth

Health screening

Workshop/health presentation

Event Information

a.m.p.m.
a.m.p.m.
InsideOutside
YesNo

Contact Information

Volunteer

Organization/Company Employee

Community Organizer

EmailPhone