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Speakers Form
CharMeck 311 Speakers Bureau Request Form
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Contact Information
Name:
Organization:
Address:
Contact Number:
Contact Number - The day of the event:
Email:
Event Information
Event Name:
Purpose of the Event:
How can CharMeck 311 contribute?
Date of the Event:
Beginning Time:
Arrival Time:
Set up by:
Estimated Ending Time:
Location/Address of the Event:
Estimated Number of Attendees:
Does CharMeck 311 need to bring Literature in Spanish?
Yes
No
Will the event be held indoors or outside?
Indoors
Outside
Is the event shaded?
Yes
No
Are chairs and tables provided?
Yes
No
Should CharMeck 311 bring a 10x10 tent?
Yes
No
Is a presentation included?
Yes
No
If so, how long is the presentation?
Does CharMeck 311 need to bring...
A computer
A wireless connection
A projector
A flash drive
Other government agencies attending:
Charlotte-Mecklenburg Utilities
Solid Waste Services
Charlotte-Mecklenburg Police Department
Charlotte Fire Department
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