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2. Event Name*
4. Contact Name*
6. Phone
7. Email Address*
9. Contact Details
11. Event Description
13. Event Location Name
15. Event Location Address1*
17. Event Location Address2
19. Event Begin & End Date and Time*
    Event Begin & End Date and Time Start Date

    Event Begin & End Date and Time Start Time

    —

    Event Begin & End Date and Time End Date

    Event Begin & End Date and Time End Time

    Recurring Events: Include info in Event Descripton above.

21. Requested Publish Date & Time*
    Requested Publish Date & Time

    Requested Publish Date & Time
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field