Event Application
Please be specific and complete as you fill out this form. If your event is scheduled, we will use this information for publicity purposes as well.
Submitted by:
*
Your name
Your Email Address:
*
example@example.com
Your Phone Number
*
Event Name:
*
Event Description
*
Please explain what this about - not just Play, Dinner, Lecture, Movie, etc.
Intended Audience
Is this for Adults, Seniors, Children? What suggested age range?
Intent / Concept / Purpose of this Event
Why is this event being held?
Who is the Sponsor or Organizer of the Event?
Name of person, organization or Grange committee
Who is/are the Presenter(s) (if any) and their background?
Give name(s) of speaker, performer, etc, and short bio
Does this event take place at the Grange?
*
Yes
No, it's at location below
Location of this Event (if not held at the Grange)
Name of Venue, Location
Street Address
City
State / Province
Postal / Zip Code
Event Date - Start Time
*
/
Month
/
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Event Ends - Ending Time
/
Month
/
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
If multiple dates and times, please list them
Give dates & times, or if recurring, when
Is there an intermission?
No
Other
Ticket prices:
*
Prices for Adults, Children, Seniors. What age range qualifies?
Are advance reservations required?
Yes
No
How does one buy tickets or make reservations?
Phone or email to public contact below
Go to event website or Eventbrite address
Buy at the door
Other
Public Contact to get more info (email to:)
example@example.com
Public Contact to get more info (phone calls)
Event or Sponsor website address, if any:
www.eventname.com, facebook page, Eventbrite listing
Any other information we should know???
PLEASE ATTACH PHOTOS OR GRAPHICS FOR US TO USE TO PUBLICIZE THIS EVENT!!!
To attach photos or graphics, click here:
Browse Files
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