CArizona Add Event Request  



Local Event = Community Name
Show/Race = (type?)10K, Car, Boat
Charitable = Name of Charity
Any Sport = Name of Sport (baseball,soccer, etc)
Cultural = Theatre, Opera, Museum, etc.
Other = Describe 		Event Type -    

Describe -

Event Start Date:

Event End Date:

Expected Attendance:

 Is attendance free?
Yes
No 		Cost to Attend:
Please provide cost information and identify if age related.

To better serve you, please check all options which apply to your event. Live Entertainment   Food  
Carnival Children's Activities  
Guest Speakers  
Dancing during/following  
Public Invited   Members Only
Other Activities  

Other activities -

LOCATION OF EVENT -

Address:

City:

State: Zip:


TIME OF EVENT -

Identify the start/stop times - Be sure to include am/pm


Contact information must be provided -

EVENT CONTACT INFORMATION.
At minimum we need an address and event information phone number.
Additional information - contact, e-mail, etc. benefits your activity.

Primary Event Contact

e-mail


Please provide the complete e-mail address including .com, .org, etc.

Name:

Title:

Address:

City:

State: Zip:

Day Phone:

Alt Phone: Include area code.

Additional Event Contact

e-mail


Please provide the complete e-mail address including .com, .org, etc.

Name:

Title:

Address:

City:

State: Zip:

Day Phone:

Alt Phone: Include area code.

Description of event - 50 word limit.

Please provide text for your event and additional information CArizona would need for listing your event. Thanks!



Contact information must be provided -
YOUR CONTACT INFORMATION
We want to know how to contact you if there is a problem with information on this form.

Your e-mail


Please provide the complete e-mail address including .com, .org, etc.

Your Name:

Title:

Address:

City:

State: Zip:

Day Phone:

Alt Phone: Include area code.


*