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Request an Event
Date of Event (with day of the week)
Event Start Time
00:00
00:15
00:30
00:45
01:00
01:15
01:30
01:45
02:00
02:15
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02:45
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21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45
11:30
Event End Time
00:00
00:15
00:30
00:45
01:00
01:15
01:30
01:45
02:00
02:15
02:30
02:45
03:00
03:15
03:30
03:45
04:00
04:15
04:30
04:45
05:00
05:15
05:30
05:45
06:00
06:15
06:30
06:45
07:00
07:15
07:30
07:45
08:00
08:15
08:30
08:45
09:00
09:15
09:30
09:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
13:00
13:15
13:30
13:45
14:00
14:15
14:30
14:45
15:00
15:15
15:30
15:45
16:00
16:15
16:30
16:45
17:00
17:15
17:30
17:45
18:00
18:15
18:30
18:45
19:00
19:15
19:30
19:45
20:00
20:15
20:30
20:45
21:00
21:15
21:30
21:45
22:00
22:15
22:30
22:45
23:00
23:15
23:30
23:45
11:30
Name of Event
Sponsoring Organization
Location of Event
Street Address
City
Region/State/Province
Postal / Zip code
Name & Title of Contact
Contact Email
Contact Phone
Purpose of Event
Background Information about your organization
Is the event space indoors or outdoors?
Indoors
Outdoors
Other
Are you expecting the CEO to speak at the event?
Yes
No
What size is your event?
Small (5-10)
Medium (15-30)
Large 50+
Describe the theme & atmosphere of the event
Suggested attire
Choose an option
arrow&v
Is the media invited to this event?
Yes
No
Is flming video permitted at this event?
Yes
No
Is photography permitted at this event?
Yes
No
Enter a link to information about your event
Attach your event flyer in an email to
info@clarawhitemission.org
Request an Event
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