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First Name

Last Name

Email Address *

Phone Number

Event Information

Event Title *

Event Website

Event Organizer Email

Event Date *

For multi-day events, please decribe completely in the Note Section

Event Cost *If the event has tiered pricing (Child/Adult/Senior), please decribe in the Event Note Section below.

Event Start Time *

Event End Time *

Street AddressEVENT LOCATION

City

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Type of Event *FundraisingActivity (ex: Poker Run, Marathon, Car Show)Educational / InformationalCommunity ServiceYou may check multiple categories

Event Notes0 / 180

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