Georgia RIAC Grant Support – PAF Event Evaluation Form

Georgia RIAC Grant Support – RPAC Event Evaluation Form
Please submit this form within 10 days of your event taking place.
Association Name
Date

MonthDayYear
Date
Association Executive/CEO

First NameLast Name
Association Executive/CEO Email
example@example.com
Association Executive/CEO Phone
Please enter a valid phone number.Format: (000) 000-0000.
Association President

First NameLast Name
Association President Email
example@example.com
Association President Phone
Please enter a valid phone number.Format: (000) 000-0000.
Association RPAC Chair (if applicable)

First NameLast Name
Association RPAC Chair Email
example@example.com
Association RPAC Chair Phone
Please enter a valid phone number.Format: (000) 000-0000.

The following parties understand that RPAC funds are to be provided to GAR within 10 days of the event taking place.
RPAC funds were provided to GAR on:

MonthDayYear
Date
Your Email Address
Used for confirmation and follow-up communications
When GAR receives this form, they will mail a fillable PDF to you where you can obtain the appropriate signatures to complete the request form. Please note that this form is not completed until we receive the completed signature page.
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Georgia RIAC Grant Support – RPAC Event Evaluation Form