MOHC Virtual Oral Health Week on the Hill 2021
February 8 - 12, 2021
Name of Organization or Participant *
Name of Contact Person (if Organization form) *
Cell phone number *
Email address *
Physical/Mailing Address *
Physical/Mailing City *
Physical/Mailing Zip *
What is your geographic reach? *
Please list any additional zip codes served by your organization (if applicable)
Please list any additional counties served by your organization (if applicable)
What is the mission of your organization? *
Key Policy Topics or Interests *
The Minnesota Oral Health Coalition will set up meetings with you and legislators. Is this something you would like us to do for you? *
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