Registrar of Voters

Outreach Event Interest Form

Thank you for your interest in having our team at your event. We appreciate your inquiry and will promptly review your request. Please ensure to provide us with three weeks' notice in advance for adequate preparation.

All fields with an asterisk () are required.*

Event Information*

Event Name

Event Description

Other

Event Date

Event Time

Event Address *

Street Number and Name

City

ZIP

Hosting Organization Name

Contact Person *

Name

Phone Number

Expected Number of Attendees

Event Setting

Setup*

Time

Items Provided

List items provided, e.g., tent, tables, chairs, etc.

Special Request

Please indicate any specific needs or preferences, such as interactive games, visual presentation or topics of discussion etc.

Breakdown Time

Additional Instructions

Provide any additional instructions or notes

New code

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