Your Name

Mobile #

Email

Is the event fully planned?: Is the event fully planned?: Yes No

Have you allowed adequate time for the communication process to be accomplished?: Have you allowed adequate time for the communication process to be accomplished?: Yes No

Event Name

Event Type

Date

Time

Detailed Location

Specific Target Audience

Attendance Restrictions

Summarize your concept within four sentences or less - why would someone attend your event?

What is your purpose for this project - what goals are you hoping to accomplish from this event?

Does the event require registration?: Does the event require registration?: Yes No

Registration Deadline

Additional questions you would like asked on the online registration form

Will the event cost to attend?: Will the event cost to attend?: Yes No

Cost

Will you require the use of the sound system?: Will you require the use of the sound system?: Yes No

Sound Details

Will you require the use any video screens?: Will you require the use any video screens?: Yes No

Media Details

Other Required Resources

Media design suggestions (if deemed necessary)

Other Details/Notes