Event Announcement Questionnaire

 
    
Please complete the following questions for person submitting announcement:
            

        

Your Name
            

        
        

            
Title
            

            
        
        

            
Organization
            
 
        
        

            
E-mail
            

            
        
    
    
Would you like your name and E-mail address shown in announcement?
    Name  Yes  No
    E-mail  Yes  No

    
Description of event?
    
    

    
Enter the date of the event:
    Date  -- dd/mm/yy

    
Enter the time of the event:
    Start time  -- hh:mm:ss am/pm

    End time  -- hh:mm:ss am/pm

    
Comments: