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Communications Request Form
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Your name:
*
Event Title:
*
Type of Event:
Luncheon
Mixer
Education
Other (Please specify in the field below)
Other:
*
Description of Event:
This will be abbreviated to a 'teaser' on the e-blast while a more full description will be posted to the event on our website. Committee will edit each.
*
Photo
Provide a brief description of a photo you would like to use.
*
Location
Tobin Center
Other (Please specify in the field below)
Other:
*
Event Date:
mm/dd/yyyy
*
Event Time:
*
Price to Attend: Members
Free
Other (Please specify in the field below)
Price to Attend: Members
*
Price to Attend: Non-Members
Free
Other (Please specify in the field below)
Price to Attend: Non-Members
*
Registration Open Date:
mm/dd/yyyy
*
Registration Open Time:
*
Registration Close Date:
mm/dd/yyyy
*
Registration Close Time:
*
CEU credit offered?
Yes
No
Already have a Sponsor?
Upload the Sponsor logo in .PNG/.JPG format if available
Other Instructions
