Please fill out this form for any marketing requests. "*" indicates required fields Full name of person filling out this form:*What department is this material for?* Admin Dental Financial Counselors Medical Mental Health OB/Women's Health Pharmacy Population Health Vision OtherThis marketing material is:* A reprint or reorder A reprint or reorder BUT with some changes A new marketing project request OtherThe changes I need for this reprint are:The Marketing material requested: Business Card English Patient Birthday Cards Spanish Patient Birthday Cards Birth Certificate Sheets OB Route Slips English Pop Health Postcards Spanish Pop Health Postcards OtherI need this marketing material:* ASAP By a certain dateDate needed by: MM slash DD slash YYYY Quantity needed:* Exact Number Listed Below Marketing Department Decision OtherQuantity:What is the end project? Posters Letter/Form Waiting Room Screen Rack Card Patient Hand Out Brochure Business Card Size Marketing RecommendationNotes, info & text for new marketing project:Please include ALL requested and approved text and info you want added to the project! The more correct text & info included, the faster marketing can get your materials completed!Documents: Drop files here or Select filesAccepted file types: jpg, doc, docx, png, pdf, Max. file size: 50 MB.Please upload any documents needed for this project. CONTACTPROMISE COMMUNITY HEALTH CENTER CALL PROMISE SET UP AN APPT EMAIL PROMISE