Quality of health information on the Internet (QHII)

Quality of health information on the Internet (QHII)
Become sponsor

To learn more about sponsoring the QHII program, HWR project, 2007 workshop, or other activity or event, please complete and fax this form to 301-320-0978
If you prefer, please call Awards Coordinator at 301-320-0971, write to us, or send us an email to hii@hii.org

Name: ________________________________________________________

Title: _________________________________________________________

Company: _____________________________________________________

Address: ______________________________________________________

City/state: ___________________________ ZIP _______________________

Tel: _________________________ Fax: _____________________________

Email: ________________________________________________________

The best time to contact me is: _____________________________________

The best way to contact me is:

Telephone

Fax
I'm interested in the following sponsorship oppportunities:

Institute (sustaining sponsorship)
Quality of health information on the Internet (QHII) program
Health Website Rating (HWR) project
2007 workshop (in connection with QHII)
Institute award program
	Aesculapius Awards for excellence in health communications
	Award for Excellence in Human Research Protection
		Best practice
		Innovation
		Life-time achievement
Other opportunity, please specify below

Remarks/requests — please write below or attach sheet.
_______________________________________________________________________

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Version 1.1; January 14, 2006