Event Intake Form Event General Information

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EVENT INTAKE FORM
Phone: 347-427-8668
Website:
Email:
Facebook:
African Holistic Health Chapter of NY
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africanholistic
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africanholistic
EVENT GENERAL INFORMATION
NAME OF EVENT:_______________________________EVENT ORGANIZER NAME:_________________
EVENT ORGANIZER PHONE:_____________________EVENT ORGANIZER EMAIL:__________________
EVENT ORGANIZER’S CONTACT HOURS:___________________________________________________
VENUE NAME & ADDRESS:______________________________________________________________
____________________________________________________________________________________
DATE, TIME & DURATION OF EVENT:_________________SETUP & BREAKDOWN TIME:_____________
SETUP DATE & TIME:__________________ ANTICIPATED ATTENDEES/PARTICIPANTS:______________
BUDGET RANGE FOR SERVICES:___________________________________________________________
EVENT TYPE: (Circle Once) HEALTH FAIR, FESTIVAL, EXPO, CONVENTION, COMMUNITY OUTREACH,
CHURCH EVENT, FUNDRAISER, ANNUAL, BI-ANNUAL, FIRST TIME, QUARTERLY
AUDIENCE (Circle): COMMUNITY, EMPLOYEES, CORPORATE STAFF, PARISONERS, PARENTS, SENIOR
CITIZENS, STUDENTS
EVENT PROMOTION (CIRCLE): DIRECT MAIL, SOCIAL MEDIA, EMAIL CAMPAIGN, RADIO, TV, BLOGTALK,
NEWSPAPERS, MAGAZINE AD, FLYERS
PROMOTION REACH: NY TRI-STATE AREA, NATIONAL, INTERNATIONAL,

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