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Event Information Form

Please fill in the form below and submit it with information on any event..
After verification, the event will be entered on the web site.

Name of the event:
Group putting on the event:
Date of event:
mm/dd/yyyy
Time of event:
hh:mm ampm
Name of event location (church, etc.):
Link to Event Page:
http://www.yourserver.com/event
Address of event location (include city):
Cost of event:
Additional information about the event:
I will be emailing you a flyer on this event. Please email the flyer to events@aapinellas.org.

Please provide the following contact information in case we have questions concerning the event. If it is OK to post this information on the web site, check the "Yes" button under the field. If "Yes" is not checked, we will not post your contact information.

First Name, Last Initial  
OK to post on web site?  Yes     No
Contact Phone
OK to post on web site? Yes     No
E-mail  
OK to post on web site? Yes     No
Validation to prevent spammers
from using this form.

Please type the characters from above:

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If you have questions or comments, please email: webmaster@aapinellas.org.

This site created and maintained for alcoholics everywhere.
Last updated on Monday, August 17, 2009 01:31 PM.