Event Request - United Teachers of Dade

UTD President

Event Request Form

Event Type

Your Contact Information

Organization Name

Street Address

City

State

ZIP Code

Event Scheduling Contact

First name

Last name

Email address

Phone number

About the Event

Title of Event

Event Date

Event Start Time

Event End Time

Event Format

Event Location / Venue

Event Address

Event City

Event State

Event ZIP Code

Brief Description of Event

Issues to be discussed

Type of Appearance

Estimated number of attendees

Press?

Yes No

Describe who from the press has been invited

Background on Organization

Organization Website

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5553 NW 36th Street, Miami Springs, FL 33166