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Event Participation Form
Paint the Town Purple
Contest Oct 2- Oct 19
Winner Announced on October 20 with a Purple Prize Basket
* Indicates required question
First Name/School/Business
*
Your answer
Last Name
*
Your answer
Phone (Please indicate if work or home phone)
*
Your answer
Email:
*
Your answer
Mailing Address (Street or PO Box)
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Preferred Time Availability
(For pictures and contest judging)
*
8 a.m.-- 1:00 p.m.
1 p.m.-- 5:00 p.m.
Required
Preferred Day for pictures and contest judging. Select all that would apply.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Host a Paint the Town Event: Select all options that apply.
*
Host an informational booth
Paint it Purple Event
Educational Workshop
Lunch and Learn
Nail Polish Station
None of the Above
Other:
Required
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