May 21-23, 2010

Renaissance Houston Hotel Greenway Plaza

Houston, Texas

  
  

Co-Sponsoring Organization Information Form

YES: my organization agrees to support the ABHP 2010 Minority Health Conference as a co-sponsoring organization and would commit to participate in the following way(s): *
Disseminate information about the conference to our membership
Include information about the conference on our website
Designate an organizational representative to attend the conference
Partner in future ABHP programs in other locations
Please contact us to further discuss this opportunity
Other support (please specify)
Other
Organizations Name: *
Contact Person Name: *
Contact Title: *
Mailing Address *
City *
State *
Zip Code *
Phone *
FAX Number *
E-mail Address: *
Web Address / Link
NO:
Our organization is unable to participate in the ABHP 2010 Minority Health Conference
Please contact us for future programs
* Required

 

 

 
 
       

Association of Black Health-System Pharmacists
2910 Kerry Forest Pkwy., D4-393
Tallahassee, FL 32309
Phone: (888) 834-0603 Fax: (203) 569-1911

E-mail: abhp@myabhp.org