Note: Fields marked with a red dot are required.

* = required field

Contact Information

Contact Person *
Contact Phone Number *

Event Details

Event Date *

Please describe the event in 3-4 sentences. This will be used for marketing purposes.

Please include a line-item estimate of the cost for the event. Explain and provide as much detail as possible (expenditures must be pre-approved and up to $250.00; no funds will be distributed that were not pre-approved/after the event).

Will you need catering at your event? *
Will you need any AV, projector, or other technology for the event? *

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