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Stormwater Event Request

2. Name of Event*

4. Event Address*

5. City*

6. Zip Code*

10. Contact Person*

11. Title

13. Email*

14. Phone Number*

15. Best time to call?*

19. Event Details

21. Date & Time of Event
    Date & Time of Event

    Date & Time of Event

    Please Put Start Time

22. How many hours is the event?*

23. # of Expected Participants*

25. Will a table be provided?*
    -- Select One --YesNo

26. Will chairs be provided?*
    -- Select One --YesNo

27. Where will the event be held?*
    -- Select One --IndoorsOutdoors

28. If outside, will a canopy/shaded spot be provided?
    -- Select One --YesNoMaybe

30. Is there a cost for our program to attend?*
    -- Select One --YesNo

31. If yes, how much does it cost?

33. Any additonal Comments

    Information about parking, what time to arrive, etc.

Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field