Programming Proposal for The 109 Cultural Exchange
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First Name
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Last Name
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Email
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Phone Number
Business Name
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What is your Proposed Title?
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What type of event is this?
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Please provide a brief description.
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What is your preferred date? (You can list back-up dates, or if you want this to repeat)
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Who is your target audience?
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What is the cost of admission, or is this a free event?
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How does this program suppor The 109's mission?
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Are you partnering with any local organziations?
No
Yes
If you are partnering with a local organization, who?
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Do you have any technical needs? (A/V, lighting, etc)
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What is your promotional plan?
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Accessability Considerations (if any)?
Do you have any additional info you want to share, or questions you want to ask?
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