Group Event / Meeting Request Form

Group Event / Meeting Request Form
Group Name:*
Name of Event and Purpose*
Person Requesting Meeting*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Meeting Request:
Date(s) requested:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Brief Description of Meeting
End Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Is this meeting recurring?*

YesNoNot Applicable
If recurring:*

MonthlyWeeklyNot Applicable
Approximate number of people attending:*
Setup/cleanup time required?

YesNoNoit Applicable
Set Up Time

Hour Minutes

AM/PM Option
Cleanup End Time

Hour Minutes

AM/PM Option
Is there a charge for the event?*

YesNo
Will you have a fundraiser or raffle associated with the event?*

YesNoNot Applicable
Signature*

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Date*

MonthDayYear
Date
FOR OFFICE USE ONLY: ________________________________________________________
Should be Empty:

Meeting Request: