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Annual Conference
Event Request
Name
(required)
Email
(required)
Phone Number
(required)
Name of Event
(required)
Event Website
Number of People Expected
Is there an participation fee?
Yes
No
Can we receive the event attendee contact information?
Yes
No
Can We Sell Beverages At The Event?
Yes
No
How will the event be promoted before, during and after the event?
Will there be other alcohol at the event?
Yes
No
Please provide other details about your event that you think we may consider relevant in considering your request
Submit
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