The One For The RoadŒ: Sign-Up Your Event

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Event Sign-Up Form

There are 2 steps necessary to sign up:

Enter all the pertinent information below regarding you, your business and the event.
After competing step 1, you will be given instructions to return to your email account on how to send us photos and/or your logo or to send by US Mail.

* Required Fields

Tell us about your event:
Eat & Drink - Events & Special Offers suggested by Restaurants, Bars, and Lounges. Club & Dance - Parties & Special Offer suggested by Clubs & Promoters… Charity/Fundraiser	Activity - Wine Tasting Events, Trips, Lessons, Outdoor Activities, Art Openings, Bands Playing Where, Movie Premieres… Shop & Special Offers - Shopping, Spas, Day Salons, Clothing… Valued Member Event - Birthday Party, Housewarming Party, Job Promotion Party, or other Gathering…
Tell us more about your event!
Event Title:	*
Event Produced by:	*
Event url, if any:
Event Street Address:	*
Event City:	*
Event State:	*
Event Zip:
Event Start Date:	*
Event Start Time:	*
Event Ending Time:	*
# of people expected	*
Age Limitations, if any:
Admission Price, if any:
Discounts Offered to Valued Members: (Discounts for second and repeat visits, two-for-one specials, gift with purchase...)	*
RSVP/Pre-Registration:	Yes No
RSVP Phone/email address:
Description of Event: (Ticket info, highlights of event, etc.)	*
More About You!
First Name:	*
Last Name:	*
Business Name:	*
Business Street Address:	*
City:	*
State:	*
Zip:	*
Business Phone: i.e (805) 555-1111	*
Business Web Site Address, if any: i.e. enter "n/a" if none
Email Address: Oops! Don't have an email address? You must have an email address to register with our services. Click here to get a FREE one from FreeCenter.com Clicking the above link will open a new browser window, where you can choose from hundreds of FREE e-mail services. To come back to this page, simply close that window	*
User Name:	*
Password:	*
Are you a Valued Member?	Yes No
If yes, Valued Member ID#

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