Sponsor A Table or Purchase individual Tickets

Please click the link below to download this form, fill it out, and mail it to:

Primary Healthcare Centers
106 East Withers Street Lafayette, GA 30728
or email to carlockk@primaryhealthcarecenter.org

For ticket purchase questions: Kim Carlock 423-285-7995

Download "TableOrTicket Purchase Form.docx"

Become A Platinum, Gold or Silver Sponsor

Please click the link below to download this form, fill it out, and mail it to:

Primary Healthcare Centers
106 East Withers Street Lafayette, GA 30728
or email to carlockk@primaryhealthcarecenter.org

For sponsorship questions: Kim Carlock 423-285-7995

Download "SPONSORSHIP FORM.docx"