2026 Midyear Meeting PAC Prize Donations Form

2026 Midyear Meeting PAC Prize Donation Form

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2026 Midyear Meeting PAC Prize Donation Form

Donations to fund PAC prizes can be either personal or business funds.

Name(Required)
Email(Required)
Please include dashes for phone number entry. Ex: 123-456-7890
Suggested Contributions(Required)

These contribution amounts are suggested amounts only and your participation at the PAC reception is voluntary. Your level of contribution or non-participation in this event will have no impact on other business you have with CMHA. Cash cannot be accepted.

Your order invoice will be created and forwarded to you via email. If you have any questions, please contact Sheila Thomas, 571-224-0937.

For questions about the event, contact Erin Hobson, 703-657-6908 or Dana Hartung, 703-457-1107.

For questions about the PAC Programs, contact Adrienne Heidema or Jeremy Anthony.