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Request an OEM Preparedness/Outreach Event
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Request an OEM Preparedness/Outreach Event
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Start
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Complete
Name:
Requesting Organization:
Contact Person Name:
Contact Person Email:
What Date are you requesting this event for ?
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
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30
31
Year
Year
2022
2023
2024
2025
2026
Do you have a requested topic or theme for your event ?
Do you have a targeted population ?
What time will your event start ?
Hour
Hour
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2
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5
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7
8
9
10
11
12
:
Minute
Minute
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01
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58
59
am
pm
What time willyour event end ?
Hour
Hour
1
2
3
4
5
6
7
8
9
10
11
12
:
Minute
Minute
00
01
02
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48
49
50
51
52
53
54
55
56
57
58
59
am
pm
How many people are you expecting at your event ?
1 - 49
50 - 100
150+
Do you have a language request for printed documents ?
Do you have any of the following equipment ?
Table(s)
Chair(s)
Tablecloth
Tent (for outdoor events)
AV Equipment
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