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2. First Name*
3. Last Name*
5. Address1
7. City
8. State
9. Zip
11. Organization
    Are you replying for a business, nonprofit or membership group?
13. E-mail*
    If we may contact you by email, please provide.
15. Phone Number - Home
17. Phone Number - Cell*
19. 1) Is your event held in the City of Inverness? *

    1. Yes
    2. No
21. 2) Do you plan to host the event in a city venue, park or downtown?*
23. 3) Does your event utilize one or more businesses in the city? Please give some examples.*
25. 4) Is this event open to the public or a private event? *
27. 5) Do you or your organization have the ability to partner financially on this proposal?*

    1. Yes
    2. No
28. 6) Does this event have a positive impact on the local economy?*

    1. Yes
    2. No
30. 7) Please describe your event in one-page or less*
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

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