Request Event and/or Divan Presence 

Submitter Info:

Event Info:

Start Date / Time:

Start Time

Social Time

Social

Meal Time

Meal

Meeting  Event Time

Meeting

End Date / Time:

End Time

Alternate Dates:

Ladies Welcome?

Child Friendly?

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 Is this a fundraising event?

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1) Is this a fundraising event for your group?

2) Does this event involve gaming (raffles, drawings, etc...)

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3)  If this is a fund-raiser, is it for your club/unit, or is it for charitable purposes (i.e., Shriners Hospitals for Children)? If it is a CHARITABLE fund-raiser, please be advised that we will need to apply for special permission from headquarters in Tampa.

Chose the best fit option:

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Is there a Fee?

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Describe the Fees? Single, Couple, Table, Etc... Amounts?

What is included with the fee?

 Are you requesting Potentate / Divan attendance?

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What time should the Potentate / Divan Arrive?

Arrial

 Will Potentate and Divan Meals be Complimentary?

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Guest Dress Code?

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Will this event be at Murat?

Have you been in contact with Dir. of Ops.?

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