Event/Pop-up Request Form
for Mike and Tay's Good Energy Mobile Services
Your Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Contact Method:
*
Email
Text
Phone call
Event Information
Event Title
*
Event Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event Category
*
Community Outreach
Member Support/Appreciation
Birthday
Education/School Event
Fundraising
Corporate Event/Luncheon
Wedding
Networking
Other
Event Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Event End Time
*
Hour Minutes
AM
PM
AM/PM Option
How many participants/attendees are expected to be at the event? (Guesstimate is fine.)
*
What’s your estimated budget range?
*
Please Select
$500 or less (small school events, community days, intimate private parties)
$500–1,000 (medium community fairs, small corporate events, mid-size fundraisers)
$1,000–2,500 (large festivals, weddings, bigger corporate functions)
$2,500+ (multi-day events, very large festivals, high-capacity sponsorships)
How would you like us to serve you at your event?
*
Free drop-off. We deliver, we set up station, and leave.
Staffed table (no extra charge). We stay + serve during your event. *30 guest minimum*
Let us know if you’d like specific flavors, colors, themes or event tie-ins!
Anything else we should know?
Optional* Upload Event Flyer, Invitation, or Graphic (it helps us come up with fun, themed recipes!)
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