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A downloadable Excel version of this form, editable offline is available here.  Be sure to click on the "Enable Editing" button and save it to your own computer before beginning to edit.

Be sure to email it as an attachment to calendar@midamericauua.org.

 

EVENT CHECKLIST

Event Title(*)
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Type of Event(*)
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Contact person(*)
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Contact person's email(*)
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Begin Date(*)
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Begin Time
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End Date
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End Time
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Time Zone
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Location
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Please include street address, city, state and zip.
If Webinar, include Zoom meeting number.

Keynote, Trainer or Speaker
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Event Description
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Please include as much detail as possible. We will edit for space if needed.

Age Group
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Registration handled by

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Scholarships available?
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Scholarship contact person and email (if different from main contact person)
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Scholarship maximum amount
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Fees
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If multiple fees, please type each one on a separate line.

Early Bird Deadline
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Early Bird Discount Amt
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Other Discounts (1 per line)
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Do you expect congreations to pay for a group of attendees?
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If yes then we will set up a team registration option so congregations can use one payment for several people.

Final Registration Deadline
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Ask for this info

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Food options available(*)

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Is Lodging available? Type details here
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Event Staff Discount
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MidAmerica Staff Discount Amt?
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Refund Policy(*)
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Is there any additional info you want in the confirmation email?
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Upload Flyer
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PDF preferred.

Upload Photo
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JPG preferred. We can crop or resize. 8 MB max.

Publicity Requested for Other Event via

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Sponsoring Group (if not the Region)
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Publicity Requested for MidAmerica event via

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Publicity to go out to
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for example, Board Presidents, DREs, Ministers, everybody...

Registration Open By

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Comments or Additional Instructions
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Staff person filling out form
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Staff person's email (to receive copy of form)
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