The PHCC of San Diego is always looking for input
from our membership
Print this form and fill out below with your feedback
or ideas
Please take a few moments to share some
feedback or a great idea with the board!
Circle one:         Feedback                          Idea

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Name: ________________________________________

Company: _____________________________________

Phone ________________________________________

e-mail _________________________________________
If more room is
needed please feel
free to add additional
sheets or turn this
page over.
PHCC of San Diego
Attn: Board of Directors
7884 Convoy Court
San Diego, CA  
92111-1210

Fax (858) 571- 5014
phccsd@sbcglobal.net
Please fax, mail or email this form to the office of the
PHCC of San Diego.