Thanks for your interest in hosting a flu clinic. A United Way representative will be in contact with you as soon as possible. Name of Event * Hosting Organization * Number of Expected Guests * 300+ Date of Event * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20192020202120222023 Flu Clinic Start Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Flu Clinic End Time * Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Name of Building or Site Event Address * City * State * ZIP * Contact Person * Title/Position * Phone Number * Email * Would your organization like to receive notifications of upcoming flu clinics? * Yes No Event Flyer * (if available)Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc.