Maternal and Child Health Technical Assistance to State Agencies

ta request submission

 
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Please forward this TA Request Form to Vicki Rogerson, Logistics Coordinator, for your approval by Carol O'Toole, Project Officer.  You may submit your TA Request Form via e-mail, fax, or mail.  The form can be accessed for printing or electronic submission via links below.

    

TA Request Form

 PDF  ¯  Microsoft Word  ¯  On-line

 

Vicki Rogerson

908 King Street, Suite 400E

Alexandria, VA  22314

(703) 518-0233 phone

(703) 518-0277 fax

vicki@roomersinc.com

 

  
 

 

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