Event Participation Request Form
Organization Info
Contact Person:
First Name
MI
Last Name
Email
Contact Phone Number:
Organization Name:
Organization Website:
Organization Tax ID #
Mailing Address
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Details of Request
Type of Request
Please select...
Wayne Metro Participation in Event
What is the cost to participate? If free, please put 0.
Event/Project Name:
Event/Project Date(s)
Time Frame of Event/Project
Event/Project Address:
City:
Zip Code:
Overview
Projected attendance/participation: (if not applicable, use n/a)
Who will be served by this event and how does it help empower low-income individuals and/or strengthen Wayne County communities?:
Due date of materials/funds:
Please specify request details:
Other community organizations participating at the event:
Name of Event Sponsor(s):
Please upload any supporting materials or flyers:
Contact Information