Contact Information |
*Name: |
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*Department or organization: |
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*Email address: |
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*Phone number: |
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Event Information |
*Event date (MM/DD/YYYY): |
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*Event time: |
a.m. p.m. |
*Type of event: |
Athletic Charity Party Other, please note: |
*Event location: |
On-campus Off-campus Please note where: |
*Event location type: |
Indoor event Outdoor event |
*Event address: |
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*Event city: |
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*Event state: |
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*Event ZIP code: |
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*Estimated number of people: |
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*Age range of audience: |
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*Day of event contact person: |
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*Day of event contact phone: |
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*Brief description of your event and what you'd like Norby to be involved in: |
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Comments: |
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