Urgent Care Group Fall 2020 Campaign Letter of Agreement Please review the following document and then complete the online form below to confirm participation. Urgent Care Group Fall 2020 Campaign LOA To view and download a copy of this agreement, please click here. Agreement to ParticipateAuthorized by (Name)* First Last Job Title* High School* School Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Check Payable to:* Check Attention Info: Today's Date* MM slash DD slash YYYY Your Initials* I agree to the terms of this letter of agreement* Yes, I agree Δ