Name
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Department
Event Name/ Description
*
Event Date
*
-
Month
-
Day
Year
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Alternative Date Option 1
*
-
Month
-
Day
Year
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Alternative Date Option 2
*
-
Month
-
Day
Year
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Event Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Additional information
Would you like this event to be included in the monthly newsletter?
*
Yes
No
Please write the description or blurb about the event that you want included in the newsletter.
*
Do you have a flyer or picture for the event to be included in the newsletter and in the announcement powerpoint. Email it to kingdomempowermentcenter245@gmail.com
*
Yes
No
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