Event Request Application
Use this form to submit an event for Miriam's Heart.
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電子郵件 *
Name (First and Last) *
Phone Number *
What is your affiliation with Miriam's Heart *
必填
Program/Event Information
Use this section to tell us about the workshop, class, program or event
Program/Event Name *
When do you want to host this event? *
必填
Do you have an exact date or dates?
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DD
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YYYY
Alternative date?
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/
DD
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YYYY
Alternative date?
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DD
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YYYY
What time of day would be ideal for this event? *
必填
The event/program is best described as:
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Who does this event serve
Do you require an honorarium? *
必填
Suggested honorarium amount?
May we collect a donation from attendees for this event? (Understanding that preference will be given to events that are offset by an 'ask' for a donation at registration) *
What is the suggested donation amount we should convey to attendees?
Who is the event point person?  *
Will you require a Miriam's Heart volunteer to assist with this event (all outside events, please indicate YES so we can assist you in making sure the event is properly supported) 
Refreshments? (Generally we offer food and drink at all of our events, if you do not plan to offer them, please explain?) *
Describe what food/drink details (we will post in the event description)
Explain why you do not plan to provide refreshments? (TBRI empowering principles guide and we generally provide water/snacks at every event) or indicate virtual event.
What other supplies or assistance would you require? 
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