Vendor Request Form
Thank you for your interest in having the Salem County Department of Health & Human Services attend your upcoming event. Our department offers a wide variety of resources, health education materials, and services that could be brought to your upcoming event. This survey should take no longer than 10 minutes to complete.

Please complete the form below and a staff member will contact you directly within 2 business days to follow up on your request.
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First & Last Name *
Phone Number *
Email Address
Are you reaching out on behalf of a business, facility, or organization? *
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