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| Describe Your Group: | Describe Your Event: | Target Audience: |
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______ Business ______ Child/Day Care ______ School ______ Civic Organization ______ Church ______ Other |
______ Campaign ______ Community Event ______ Conference ______ Health Fair ______ Presentation ______ Project ______ Training ______ Other |
______ Clients ______ Employees ______ General Public ______ Professionals ______ Seniors ______ Students (Pre/Elem/Mid/HS/Univ) ______ Other |
Materials will only be distributed in the jurisdiction of Somerset County, Maryland.
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Please
fill out this section if you are conducting an event (Fair, Presentation,
Training, etc).
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| Name of event ________________________________________________
Location of event ______________________________________________ Date of event ____________ Beginning Time ____________ Ending Time ____________ Number of Attendees ____________________________________________ Topic of Interest ________________________________________________ Services requested from our staff ____ Exhibit _____ Presentation _____Interview _____Other |
Email this form to cparks@co.somerset.md.us
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Last updated: 24 July 2005