Affinity Health

MARKETING REQUEST

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MARKETING REQUEST

Please fill out the form below with as much detail as possible for your marketing request.  Please attach any relevant documents and be as specific as possible with verbiage, file types, purpose of the piece, etc. It will be sent to our marketing department and you should also receive a copy.

Marketing Request Form

  • Date Format: MM slash DD slash YYYY
  • Drop files here or
    Accepted file types: jpg, gif, png, jpeg, pdf, doc, docx.
  • Drop files here or
    Accepted file types: jpg, gif, png, jpeg, pdf.
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