Chapter Event Form
Please complete the form below to submit your chapter event for inclusion on PHCC’s online event calendar. Submissions may include conferences, educational programs, networking events, fundraisers, or other special events that would benefit from visibility to PHCC members and the public.
Chapter Name
*
Your Name
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Event Name
*
Event Date/Dates
Expected Attendance
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Event website
Venue Name
Event Location
*
Event Description (description for event calendar)
*
National Leadership Attendance
PHCC National Board members, Executive Committee members, Zone Directors, and staff value the opportunity to attend and support chapter events across the country. The PHCC membership team will be in touch soon to coordinate any leadership attendance for your event. Please provide the contact information below of who to contact for leadership attendance collaboration, if different from the information above.
If you know you want leadership attendance, please list what office (board, staff, zone director, etc) or if there is a specific person you would like to attend (if known) and how they could support your event. (We will discuss this in more detail in our outreach to you)
Point of contact name, phone, and/or email for leadership attendance outreach, if it's different than main contact information above:
PHCC National Staff
Yes, I understand I will be providing free registration for the requested National leadership representative attending.
Agree
Disagree
Yes, I understand I will be responsible for paying for the requested National leadership representative's hotel room. PHCC National will pay for travel and incidentals.
Agree
Disagree
Add any files for the event here, if not online (flyer, agenda, etc)
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