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2. 

4. Complete this form to request a Beaufort-Jasper Water & Sewer Authority information booth at your event.

6. Organization & Name of Event*
8. Event Date & Start Time*
   Event Date & Start Time

   Event Date & Start Time
9. How many attendees are expected?*
10. Duration of event*
12. How much time is allowed for setup and tear down?*
13. Ages of attendees*
15. Topics you'd like us to cover*
17. Event Address*
19. City
20. State
21. Zip Code
23. Is the event in a gated community?*
    -- Select One --YesNo
24. If so, how will our staff gain access?
26. Point of Contact Name*
27. Point of Contact Email Address*
29. Point of Contact Phone Number*
31. Secondary Point of Contact Name
32. Email Address
34. Phone Number
36. Does the venue have power hookups available?*
    -- Select One --YesNo
37. Does the venue have water hookups available?*
    -- Select One --YesNo
38. Are tables and chairs provided?*
    -- Select One --YesNoTable only
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field