CWEMC Programs Request Form
Clarke-Washington EMC has experienced professionals who will speak to schools, youth or civic groups about electrical safety, careers in the cooperative, energy conservation and more. For more information, please complete the form and a co-op representative will be in touch.
Please provide a number I can easily reach you on.
Address for Presentation
Street Address Line 2
State / Province
Postal / Zip Code
How many total will we be presenting to?
Type of Demonstration
electrical safety with demonstration board
careers at the co-op
Date of Event
When will the class start? We usually need about 15-20 minutes to set up.
Should be Empty:
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