Thank you for requesting the presence of the SC Campaign to Prevent Teen Pregnancy to exhibit at your scheduled event. Please complete the form below and allow at least a month's advance notice from your activity date. Fields in RED are required.

Exhibit Request Form
Contact Name:
Organization Name:
Street Address:
City:	State:  Zip:
Daytime Phone:	Alt. Phone:
Email Address:
Name of Event:
Event Date:	Event Time:
Event Location:
Event Address:
Event City:	State:  Zip:
Exhibit Set-up
Exhibit Cost:	Yes No  If Yes, Cost Amount:
Exhibit Set-up Time:
Table Provided:	Yes No  Tablecloth Provided: Yes No
Who is your target audience and the expected number of attendees? (Enter number for each that apply): Teens: Youth: Females: Males: Parents: Professionals: Other:
Any additional information that will help us respond to your needs better:
If you have any questions, please contact Cayci Banks at cbanks@teenpregnancysc.org or call (803) 771-7700.
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©2008 South Carolina Campaign To Prevent Teen Pregnancy