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General Information

Name of Event and expected audience. Please write out acronyms!

Today's Date

Date, Time and Location of Event

Person Completing Form (Point of Contact)

Point of Contact's e mail Address

Point of Contact's Phone Numbers
Home Work Cell Phone

Point of Contact's Time Zone & Best Time to Call

Project Information

Purpose of the Event. Please be specific!

Who is Your Audience? example: other Auxiliarists, general boating public, children, staff officers, conference participants) Do you have any VIPs or special visitors attending?

Is there a charge for this event?
Yes  No

Have you invited media? If so, please specify:
Yes No    

Program or general itinerary of event: 

Is the public invited to this event?
Yes No

Can you find other venues for the speaker if he/she travels to your location?
Yes No

Is this event being used to raise funds? If so, please explain.

Yes  No

Is your group advertising the event? If so, how?
Yes No

Contact Information for the Organization

Point of Contact at Organization and Title

Point of Contact's e mail Address

Point of Contact's Phone Numbers
Home Work Cell Phone

Point of Contact's Time Zone and Best Time to Call

 

Organization Specifics

Is your organization a ...

Civic Organization

Government Organization

Other (please specify) 

 

Does your organization exclude any person from its membership or practice any form of discrimination in its functions based on race, creed, color, sex, or national origin?

Yes No

 

Can your organization provide computer and/or audio-visual equipment?

Yes No 

 

Is your organization willing to provide funding for any expenses when the requested military resources are not local to the geographic area of the event and not within the budget of the command? If so, please specify in terms of travel, lodging, meals, etc. 

 YesNo

 

General Project Comments or Instructions

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