MOBILE SHOPPE REQUEST FORM
Please use this form to schedule our Mobile Shop to come to your Service Unit Events. Council requires at least 4 weeks notice when scheduling. Upon receiving your request we will reply back to you within a weeks time. We will make a decision if we are able to attend depending on number of participants and staff availability due to other events scheduled.
Service Unit # *
*
First & Last Name *
*
Phone Number *
*
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Area Code
Phone Number
Email Address *
*
Name of Event *
*
Location (Name of building) *
*
Street Address *
*
Town *
*
Date *
*
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Month
-
Day
Year
Date Picker Icon
Start Time *
*
Hour Minutes
AM
PM
AM/PM Option
End Time *
*
Hour Minutes
AM
PM
AM/PM Option
Number of Girls Expected *
*
Number of Adults Expected *
*
Is the event indoors or outdoors? *
Indoors
Outdoors
Both
Other
Other
SITE AMENITIES Please indicate the amenities on site. *
WiFi
Electricity
Tables available
Parking
EVENT DESCRIPTION Use the space below to provide a high-level overview of your event & the assistance that you need from the shop. *
*
OTHER COMMENTS
OTHER CONTACTS Please list any other contacts who will be directly involved with this project.
Submit
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