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* 1. Organization Name

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* 2. Contact Name

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* 3. Sponsorship Level

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* 4. ONE (1) Table and TWO (2) chairs will be provided for each organization. 
If you need any accommodations, please let us know. 

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* 5. Will you want a table at the event? 

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* 6. Will you need an outlet?

Please make checks payable to:
The Chicago Hispanic Health Coalition
UIC IMHR (MC 764) 1819 W Polk St, Ste 246 
Chicago, IL 60612
Thank you for being a sponsor for the 13th annual Vive tu Vida! Get up! Get Moving!
We would not be able to do this event without the help and support from you and your organization.
Please do not forget to send us your logo at chhc@chicagohispanichealthcoalition.org
See you June 15th!
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