Request Copy

Request a Printed Copy of the Provider Directory

Please fill out and submit the following form to receive a printed copy of the provider directory in the mail. Required fields are labeled with an *.

Which Directory?:

*

Your Information

First Name:	*
Last Name:	*
Address 1:	*
Address 2:
City:	* State: * Zip: *
Phone:
Email:
Who Are You?:

You may also request a printed copy of the provider directory via:

email: directoryinfo@chgsd.com
phone: 1-800-224-7766
or mail:
2420 Fenton St., Suite 100
Chula Vista, CA 91914

كيف تطلب دليل المزوِّدين المطبوع
Cómo solicitar un directorio de proveedores impreso
Paano humilinh ng nai-print na directory ng provider
Cách yêu cầu một bản in danh mục nhà cung cấp

v1.17