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Get Participating Organization Form V2
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How to fill out the Participating Organization Form V2 online
Filling out the Participating Organization Form V2 is an important step for organizations seeking to contribute to the Healthy Living for a Lifetime event. This guide will assist you in completing the form accurately and efficiently, ensuring that you provide all required information.
Follow the steps to successfully complete the form.
- Press the ‘Get Form’ button to access the Participating Organization Form V2 and open it in the online editor.
- In the 'County of Event' section, enter the name of the county where the event will take place.
- Provide the 'Organization Name' in the designated field, ensuring clarity and accuracy.
- Enter the contact person's name in the 'Contact Name' section, as this will be the primary point of communication.
- Fill in the 'Address' field with the complete mailing address of the organization.
- Specify the 'City, State, Zip' information to ensure proper routing.
- Input the 'Telephone' number where your organization can be reached for further inquiries.
- If applicable, provide a 'Fax' number for any necessary correspondence.
- Enter your 'Email Address' in the appropriate field, as this will be vital for electronic communication.
- Fill in the 'Cell #' section to provide an additional phone contact if needed.
- Indicate the 'Title' of the contact person to provide context to their role within the organization.
- Review the request for space at the event; the form reserves one chair and three feet of table space.
- In the additional requests section, outline any specific needs beyond the standard provisions.
- Sign and date the form to confirm your organization’s agreement to the terms outlined, including restrictions on selling or distributing goods.
- After completing the form, you may choose to save changes, download a copy for your records, print it out, or share it via email.
Complete and submit the Participating Organization Form V2 online today to secure your space at the Healthy Living for a Lifetime event.
CAQH ProView Practice Manager Module – Adding New Providers Providers can self-register with CAQH ProView by clicking on “Register” on the CAQH ProView login page: https://proview.caqh.org. By self-registering with the system, a provider will obtain a CAQH Provider ID number.
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