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Benefit/Wellness Fair Presentation Request Form

Having a wellness or benefit fair? You can request a BCBSTX representative to attend your event.

Please submit this form at least six weeks prior to your event to allow enough time to fulfill your request. If your event is scheduled in fewer than six weeks, we will do our best to accomodate your request.

Once you have submitted the form, please allow up to 72 hours for a BCBSTX representative to respond via email or phone. Your BCBSTX representative will work with you leading up to your event. If you have any changes to your event after submitting your request form, email BCBSTXSupport_ERSTeam@bcbstx.com.

An asterisk (*) indicates a required field.

Requestor Information

Preferred contact method:*

Event Information

Would you like BCBSTX to provide a door prize at your event?*

Who is the primary audience?

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association.

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