Meeting Requested by:
*
First Name
Last Name
Requestor email
*
example@example.com
Requestor Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Event Title
Additional Comments/Event Description for Calendar
Event Contact Person, if NOT Requestor
First and Last Names
Contact's Email
example@example.com
Contact's Phone
Please enter a valid phone number.
Which District Committee/Task Force is requesting?
*
DEI
District Governor Line
Foundation
Leadership Development/Training
Membership
Public Image
Technology
Other
Purpose of Meeting
*
Leadership Meeting
Service
Social
Training
Other
Preferred Meeting Format
*
In-person
Virtual
Hybrid
Unknown
Location of in-person component of the meeting
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
District Zoom Account Needed?
*
Yes
No
Zoom Host/Operator
This person will not be the moderator or presenter/panelist
Use Zoom template that includes Club Name as a registration question?
Yes
No
Is this a recurring event?
*
Yes
No
Do you have a specific date in mind for the event?
*
Yes
No
Frequency
*
Monthly
Bi-Monthly
Quarterly
Semi-annual
Other
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Preferred Day of Week
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Week
*
First
Second
Third
Fourth
Preferred Date
*
-
Month
-
Day
Year
For a multi-day event, please enter the starting date.
Ending Date
-
Month
-
Day
Year
For a multi-day event, what is the ending date?
Please enter the start/end time if known
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Submit
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