Illinois Diabetes Awareness Month Pledge
The Illinois Diabetes Action Plan Implementation Group, under the direction of the Illinois Department of Public Health and partners, invites you to take the pledge and commit to actively participating in Diabetes Awareness Month this November 2018. Below is the pledge form. Please complete the form by inputting the requested information and selecting the activities you and/or your organization will do for Diabetes Awareness Month.
Email address *
Name *
Your answer
Title *
Your answer
Organization Name *
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
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