Event Request Form

Event Request Form

Please completely fill out all information being requested. Complete information is necessary to expedite the decision process. If you should have any questions regarding this form, please contact our office at (808) 935-8874 or email info@naleo.tv
Email*
example@example.com
Name*

First NameLast Name
Job Title*
Event Name*
Organization Name
What is your connection with this event?
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Event Category*

PublicEducationGovernment
Program Subject*

Arts/EntertainmentCommunity Event/InfoCultural/EthnicEducationalFoodHealth/Well BeingReligious/SpiritualScience/TechnologySports
Event Start Date*

MonthDayYear
Date
Event End Date*

MonthDayYear
Date
Event Start Time*

Hour Minutes

AM/PM Option
Event End Time*

Hour Minutes

AM/PM Option
Event Address *
If there are multiple locations, please indicate the date and times at each location.Example: 91 Mohouli Street, Hilo, Hawaii 96720 9:00 am, 73-4855 Kanalani Street, Kailua-Kona,Hawaii 96740 12:00 pm
Are you a 501 c non-profit organization?*

YesNo
Indicate if any of the following elements will be utilized at the event by slecting the box.

Power Point PresentationAudio TracksSound Mixer or Sound BoardOther
Is there a cost for your event? If so, where do proceeds go, and are you willing to waive the fees for NLTV production staff?
Do you have a media budget? If so how much?
Additional information. (Please describe your event in detail, i.e., who will be speaking, how many people you expect to attend, event description, etc.) Provide as many relevant details as possible.
Mahalo for considering Nā Leo TV to cover your event.
Should be Empty: