Organization Information

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Name: *

Website:

Tax Number: *

Coordinator Information

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Name: *

Email: *

Phone: *

Event Information

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Event Name: *

Event Date: *

How many years has your event been held? *

Expected Number of Attendees: *

 

 

Is event at a bar, restaurant, or theater? If yes, where? *

Have we sponsored your event before? If so, when?

 

 

Is there any other information you would like to give us about your event?