Vendor Submission

Company Information
Company Name*
Company Logo*
Accepted file types: jpg, gif, png, pdf, ai, tiff, doc, psd, Max. file size: 10 MB.
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Company Logo*
Drop files here or

Accepted file types: jpg, gif, png, pdf, ai, tiff, doc, psd, Max. file size: 10 MB.
Customer Support Phone Number*
Customer Support Email (if available)
Website*
Service Video (if available)
What's your core service?*
What value do you offer to members?*
What's something unique about your service that few members know?*
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Who should members contact for support?*
Marketing Contact
Name*
First Last
Phone*
Email*
Are you a current Community Health Magazine advertiser?*
- Yes
- No

Company Information