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Tabling Request

Do you have an event such as a community health and wellness fair, employee resource fair, or other event where you would like PCOA to staff an information table? Please fill out the Tabling Request Form below and we will contact you if we can fulfill your request. We appreciate a minimum of four weeks’ notice and will do our best to staff your event. 

Group Name *

Group Contact Name *

First

Last

Email *

Phone Number *

Event Date and Time *

Date

Time

Event Location (Including Address) *

Type of Event *

• Public Health & Wellness Fair
• Employer Health & Wellness Fair
• Job Fair
• Resident Event
• Workshop/Seminar/Class/Conference
• Club Meeting
• Other

Other (Please Describe) *

Expected Number of Attendees *

Indoor our Outdoor Event? *

• Indoor
• Outdoor

Tables and Chairs Provided? *

• Yes
• No

Registration Due Date *

Other Details to Share with PCOA

Submit