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Complete the Campaign Form below

Presenter Information

Company *

Presenter First Name *

Presenter Last Name *

Email *

Phone *

Additional Contact Email (Optional)

Campaign Information

Name/Topic of Event *

Workshop Type *

Workshop Event Information

Workshop Event Location *

Event Address *

Building or Room # *

Workshop Event 1 Date *

Workshop Event 1 Time *

Workshop Event 2 Date *

Workshop Event 2 Time *

Workshop Event Information (Cont.)

Max No. of Attendees *

Parking Info *

Meal Served? *

What menu items are available to guests? *

Marketing Information

Campaign Zip Codes - Include 5 Codes For Targeting *

Audience Inclusions/Exclusions *

Provide any Additional Notes or Compliance Disclosures for your Campaign *

Picture of Workshop Venue *

(Optional) Submit Any Picture of the Workshop Venue Location (JPEG, PNG, PDF only)

PDF, PNG, JPEG or JPG