Event Information Name of Event * Type of Event * --- Select One --- Talk Meeting Display Tour Other Other * Date * Start Time * End Time * Location * Purpose of Event * Projected Number of Attendees * Permit Required * ---Select One--- Yes No N/A Permit Obtained * ---Select One--- Yes No N/A List Permits (If Applicable) * Stationary Event * Yes No If no, provide start and end locations (attach map for reference) * Additional Notes, Equipment, or Special Requests: * Organization Information Requesting Person or Organization * Address * Address line 2 City * State * ZIP Code * Contact Person * Phone * Email * Submit Submit Submit Submit another response