Host An HIV Testing Event

Join us in the Fight to Eradicate HIV in our Community

ERC is committed to the community that we serve and want to ensure that our partnerships are mutually beneficial. We welcome requests for health fair exhibits, testing services and/or workshops from our partners in the community. Please be advised that all requests should be submitted at least 30 days in advance.

Tentative Hosting Request Form

Requests for events that target high-risk populations will take precedence. This request form does not guarantee that ERC will be able to participate in your event.

DATE of Event (required)

TIME of Event

Beginning (required)

Ending (required)

TITLE of Event (required)

LOCATION of Event

Address(required)

City (required)

Country(required)

Zip Code(required)

ORGANIZATION INFORMATION

Contact Person (required)

Phone Number (required)

Organization Name(required)

Email Address (required)

Fax Number

TIME of Event

LOCATION of Event

ORGANIZATION INFORMATION

COMMENTS/SPECIAL REQUESTS

CONTACT ERC

NEWSLETTER SIGNUP