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Please indicate your level of interest with PIzC (check all that apply). Receive mailings/updates Attend general coalition meetings Attend immunization trainings and broadcast updates Participate in a Work Group Participate in special and outreach events Be able to order free immunization resources Other (please specify)
My organization can/or I can help PIzC by: (Check all that apply) Providing meeting space Providing refreshments for meetings/trainings Providing monetary support Providing office supplies Assisting with mailings or postage Including PIzC information in my organization’s newsletters/mailings Providing printing/publishing/design assistance Co-sponsoring special events Offering incentives Other
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