Thank You

We appreciate your interest in National African American Hepatitis C Action Day and welcome you as a partner. However, promotional materials are no longer available. You will receive future communications about Action Day. If you have any questions, e-mail info@nblca.org. We will include information about your event in our communications.

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* 1. Our organization agrees to participate in National African American Hepatitis C Action Day 2015 (NAAHCAD) to bring attention to the community about the impact of HCV among African Americans.

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* 2. Organization Name

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* 3. Organization Information

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* 4. Type of Organization

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* 5. National African American Hep C Action Day

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Did your organization participate in NAAHCAD in 2015?

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* 6. Please tell us about your 2015 NAAHCAD event(s). (Check all that apply.)

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* 7. Population Served (Check all that apply)

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* 8. Service Demographic (Check all that apply)

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* 9. Risk (Check all that apply)

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* 10. Provide date of your Action Day event.

Date

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* 11. Please provide us with information about your Hep C Action Day Event. (Information added to NBLCA's website)

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* 12. Please provide details about your event.

We will be in contact soon, in the meantime, If you have any questions, please e-mail Melissa Baker at info@nblca.org. We look forward to working with you.

The National Black Leadership Commission on AIDS, Inc., (NBLCA) is a 501c3, not for profit organization with a mission to educate, mobilize, and empower Black leaders to meet the challenge of fighting HIV/AIDS and other health disparities in their local communities. Founded in 1987, and headquartered in New York City, NBLCA is the largest nonprofit organization of its kind in the United States.

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