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District Press Release Information Request
Note:
Press coverage opportunities are only available for oral health care educational events connected to your practice or the District and/or oral health and non-oral health related community service activities involving the District.
*
1.
Event Contact Information:
Who should we contact with any questions about this request?
(Required.)
Name
Email
Phone Number
2.
District Name
Berkshire
Boston
Cape Cod
East Middlesex
Merrimack Valley
Metropolitan
Middlesex
North Metropolitan
North Shore
South Shore
Southeastern
Valley
Wachusett
Worcester
MSOMS
*
3.
Event Name
(Required.)
*
4.
Event Date and Time
(Required.)
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
*
5.
Event Start Time
(Required.)
6.
Event End Time
7.
Event Location Information
Venue Name
Venue URL
Event Address
8.
Event Information
Event Description
Event Purpose/Goal
Number of Attendees (if applicable)
Related Stats or Figures (if applicable)
*
9.
Publications to Send Release
(up to five)
(Required.)
10.
Photo
(if applicable)
Please upload a speaker photo here
Choose File
No file chosen
11.
Photo Caption (identify location and full names of those photographed)
12.
Upcoming Events
13.
Additional Comments