Exhibit Host Survey

Thank you for your interest in 67 Women, 67 Counties: Facing Breast Cancer in Pennsylvania, the PA Breast Cancer Coalition’s traveling photo exhibit. If you would like to host the exhibit in your community, please fill out the questions below and our Community Outreach Director will contact you.

Comment

ExhibitHostSurvey

* First Name
* Last Name
Email
Street
Street 2
* City
State
Zip
Phone Number
* Possible Site Name
* Possible Site Full Address
* Does your site have 1,500 square feet of free space?
1. Yes
2. No
* Are you able to host the display for a 10 to 12-day period?
1. Yes
2. No
* Are you willing to work with PBCC staff members to plan an opening reception and form a host committee?
1. Yes
2. No

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