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Please fill in the fields below to the best of your ability. We highly encourage that requests are submitted at least six weeks in advance of the event. If you have questions prior to submitting the form, contact Tom Moyer at
  • Contact Information

  • Event Information

  • Date Format: MM slash DD slash YYYY
  • :
  • :
  • Please provide event details and describe how the president's role will enhance it.
  • Additional Information

  • Please also include any parking and audience information.
  • This field is for validation purposes and should be left unchanged.