Is the event being promoted as an Educational or Informal Event? One must be checked.
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Educational: Educational events may not include any sales activities such as the distribution of marketing materials or the distribution or collection of plan applications.
Informal: Usually conducted in a less structured presentation and or environment to an audience and or passersby. A table or kiosk is typically utilized where the representative can discuss the merits of the plan's products.
Request Date
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Month
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Day
Year
Requested By:
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Organization Name:
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County:
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Brown
Cass
Crow Wing
Dodge
Freeborn
Goodhue
Kanabec
Morrison
Sibley
Steele
Todd
Wabasha
Wadena
Waseca
Event Contact Name:
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Event Contact Email:
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Contact's Role in Event:
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Event Name:
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Event Date:
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Month
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Day
Year
Event Start Time:
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Venue Name:
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Venue Phone:
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Venue City, State, Zip:
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Event Sponsoring Organization (if different from above):
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Sponsor Contact Name:
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Sponsor Contact Email:
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Sponsor Contact Phone:
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Expected Number of Attendees:
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Describe Event:
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Purpose/benefit of SCHA Involvement:
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SCHA counties participating in event:
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Will 75% of attendees be SCHA members or from SCHA member counties?
Yes
No
Type of Participation Requested (check all that apply):
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Sponsorship
Promo Items
Exhibit
Presentation
Other (describe below)
If "Other", please describe:
Cost to SCHA:
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South Country Health Alliance is bound by federal and state rules when marketing to eligible populations that may attend this event. These restrictions include, but are not limited to: Educational events require a disclaimer when SCHA sponsors or promotes the event; no meals or subsidized meals my be provided for ANY event where benefits are discussed or materials contributed; gifts or take-away items are limited to nominal values of less than $15 retail and must be provided to all attendees whether enrolling or not; no cash or gift cards which can be converted to cash may be provided to attendees regardless of dollar amount.
SCHA receives numerous requests to participate in various events. Requests are fulfilled based on the interests of SCHA and the availability of resources. Not all requests will be fulfilled.
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