Category of Event: Education Business Social Action Health Cultural Entertainment Youth Other Co-Sponsor
When does the Event begin? Day: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Month and Day: Time: Location of Event (building or park or facility):
Event Address:
Cost: $ . . Attire: Casual Semi-Formal Formal: Tux Paraphernalia Special Theme
Can other Guests be brought too? Open to Everyone Limited Participants Guest-List Only Unsure Event Website: Whom to Contact for more Information: Phone = Email = How will this event be primarily publicized? Newspaper Radio or TV Flyers or Posters Internet Other
Which Newspaper, Radio Station or Internet Site will publicize this?: Will this Event be submitted to the National Website's PIA Form? Yes No Unsure Would this Event be a worthy item in the Crescent Magazine ? Yes, it will be submitted Yes, but we're not able No Unsure Does this event require additional insurance? Yes No Unsure Does this Event repeat on an annual basis? Yes No Unsure
Additional Comments or Information: This information has been submitted by: Name:Current Position Chapter President Vice President Recording Secretary Financial Secretary Correspondence Secretary Treasurer A Program Director Other Office Regular Member Chapter Advisor Do you request a reply? No Reply Necessary Yes: from the Website Manager Yes: from the State Director of Publicity Your email or number: