14 Bowl Game Ticket Information
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Administrative/Coaches Speakers Request Policy

Required Fields are in Bold

Organization Information
Name of Organization
 
Street Address
 
City
 
State
 
ZIP Code
 
Contact Information
Contact Name
 
Daytime Phone
 
Cell Phone
 
Email Address
 
Event Information
Name of Event
 
Is the event a fundraiser?
 
If so, who are the funds benefiting?
 
Please list the dress code for the event
 
Date of Appearance/Event
 
Location of Appearance/Event
 
Appearance/Event Address
 
Appearance/Event Location City
 
Appearance/Event Location ZIP Code
 
Appearance/Event Major Crossroad (Street 1)
 
Appearance/Event Major Crossroad (Street 2)
 
Name of Contact Person on-site at Appearance/Event
 
Cell Phone for Contact Person on-site (in case of emergency)
 
Requested Speaker
 
Speaker Arrival Time (time you would like the speaker to arrive before speaking)
 
Speaker Departure Time (time the speaker can leave event after speaking)
 
Speaker Presentation Time (time you would like the speaker to start)
 
Length of Presentation (i.e. 30 minutes)
 
Type of Appearance/Event
 
If you selected "Other" for event type, please describe event
 
Time of Event (time the event starts)
 
Presentation Topic
 
Age Range
 
Number of Attendees
 
Number of Minorities
 
Male Attendees
 
Female Attendees
 
Comments
 
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