TAS Event Request Form

Please complete the following form and click the Submit button at the bottom to request an event listing on www.theappliquesociety.org

If you have questions or problems with this form please e-mail...

events@theappliquesociety.org

NOTE: We will NOT process event listing requests that are e-mailed to the above address, the form MUST be used... this is just for additional questions / comments!!!

Required fields are marked with an asterisk (*)

	The FIRST TWO fields are for the REQUESTOR - in case we need to contact you with questions about your listing request... this information will NOT be listed on your event posting!!! IF you are ALSO a contact for the event, then ALSO fill out the Contact Info further down on the form!!!
REQUESTOR Name*
REQUESTOR e-mail address*

General Show Info
Show Name*
On: (Single Day)	Format: MM/DD/YYYY
From: (Multiple Days)	Format: MM/DD/YYYY
To: (Multiple Days)	Format: MM/DD/YYYY
Start Time:*
End Time:

Location of Show
Address*
Site (store, or...)
City*
State*
Zip Code

Show Description*
Web-Site

Contact Info #1
Name 1*
Address
City
State
Zip Code
e-mail*
Phone number
Phone number 2
Fax Number

Contact Info #2
Name 2
Address
City
State
Zip Code
e-mail
Phone number
Phone number 2
Fax Number

Other (questions, or additional details... please be specific!!)

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This page was last modified on Sunday, July 16, 2006

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