Event flier or website request

Event flier or website request

Name of event or activity:
Requestor's name:
First
Last
Email address of requestor:
Service unit name and/or troop number:
Name that should be listed as contact person on flier:
First
Last
Phone number of contact person to be listed on flier:
Area Code
Phone Number
Email of contact person listed on the flier:
Who is your Membership Development Mgr. (for service unit or troop requests):
Type of project needed:
Flier size:
Flier options (check all that apply)
Quantity:
Additional comments:
Event title:
Event start date:
MM
DD
YYYY
Event end date:
MM
DD
YYYY
Start and end time:
Event location:
Street Address
Apt./Ste.
City
State
Postal Code
County:
Is this a registration event?
Registration fee(s):
Registration deadline:
MM
DD
YYYY
Audience:
Description:
Upload registration form (if applicable):
Do you need the flier by a specific date? (please be sure to email kkreuzman@girlscoutsindiana.org, in addition to completing this form, if you need it sooner than 3 business days)

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