Request form

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
Who is your MDM? (for service unit or troop requests)

Project type

Type of project neeeded
Flier size
Flier options (check all that apply)
Quantity
Additional comments

Event information

Event title
Event start date
MM
DD
YYYY
Event end date
MM
DD
YYYY
Start and end time
Location
Address
Street Address
Apt./Ste.
City
State
Postal Code
County
Child registration fee
Adult registration fee
Capacity
Registration deadline
MM
DD
YYYY
Audience
Is this a registration event?
Description
Upload registration form (if applicable)
Do you need the flier by a specific date? (please be sure to email psims@girlscoutsindiana.org, in addition to completing this form, if you need it sooner than 3 business days)