Calendar of Events Submission Form

Submit one form for each event. You are responsible for the accuracy of the information submitted including dates, times, spelling, etc.

Deadline for submissions: Friday, April 22, 2011

Your Name:

Contact Information:

Email		Preferred Contact Method: Email Phone Fax
Phone
Fax

Event Name:

Date:

Time:

Name of Sponsoring Organization:

Registration Needed? Yes       No

Registration Phone:

Registration Contact:

Registration Deadline:

Cost, if any:

For more information, contact:

Event Description:

To return form via email or fax:
Brenda Plizga
Fax:248-232-2291

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