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Name of Individual and/or Entity Making the Request
This information will help us learn more about the company/organization. This can include history, mission, industry, years in Texas City, and/pr other relevant information. Include website links if possible.
Enter the exact location (address) of where the event will take place. If the event will be virtual, please indicate the online platform that will be used (e.g. Zoom, Teams, etc..)
If available, upload any flyer, program, or other resource about the event and your organization.
You can select more than one.
Who should be contacted with any questions on the day of the event? Include contact persons name, office, cell & work number.
This field is not part of the form submission.
* indicates a required field