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Priority —Please choose an option—LowMediumHigh
Project Name
Requestor Name —Please choose an option—AlexJadeJosephineKyndraLisaNicoleSarahOther
Requestor Name
HSC Division —Please choose an option—The HSC Pediatric CenterKids in ActionThe HSC Outpatient CentersThe HSC FoundationThe HSC Health Care SystemHSC Home Care LLCHealth and Residential ServicesHealth Services for Children with Special Needs IncOther
Division Name
Type of File (Invitation, Flyer, Banner, Etc)
Requested Size Dimensions
Requested Text
Please list image and logo file names we should use for this project:
Required Legal Components (Multiple Selections Allowed) —Please choose an option—NoneLanguage LinesFunding LanguageCompliance LanguageMayors LogoDHF Logo
Professional Production Quote Needed? —Please choose an option—YesNo
Deadline
Comments / Notes (including how supporting files will be delivered)