The Martin Luther King, Jr. Family Clinic Dallas

The Martin Luther King, Jr Family Clinic

Promoting Health Lifestyles One Patient At A Time!

( A private practice healthcare group)

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Questions Email Us At info@mlkfamilyclinic.org

Select Event or Events Below You Want To Participate In:
Save A Life, Save A Heritage (January)
National Women’s Health Week (May)
National Men’s Health Week (June)
National Health Center Week (August)
Take A Loved One To The Doctor (September)
Harambee (October)

Organization Name
Contact Name
Phone Number
Fax Number
Email Address
Address
City, St, Zip
Services or Information Provided
Type of Items To Be Sold
Booth Fee (1 Table, 2 Chairs)	Non-profit: $30 or $30 gift
	For-profit: $100 or
	Selling food: $200 (additional paperwork will be provided to you).
No. of Outlets Needed (Please bring extension cord)
Names of Participants at Table
Will your organization bring its own table covering?	Yes	No