BECOME A Quit Now Indiana Champion Employer

Quit Now Indiana Champions are health systems, medical providers, and employers that value and promote Quit Now Indiana Tobacco Treatment Services.

ENROLL TODAY

QUIT NOW INDIANA CHAMPION BENEFITS

Eligibility for Awards & Recognition

Monthly Emails with QNI Promotions & Updates
Links to Referral Options & Free Educational Materials

CHAMPION AWARD LEVELS

ENROLL TODAY

Enrollment as a Quit Now Indiana Champion Employer is quick, simple, and free. Enter your information in the form below to enroll as a Quit Now Indiana Champion. If you have any questions, please call 317-234-1787 or email Holly Simpson at HoSimpson@health.in.gov for more information.

Business or Employer Name

Contact Name

First Name

Last Name

Type of Business or Organization

Subject

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

County

Email Address

Phone

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