Your name Your Phone Number Your Email Event Name Event Type (choose from list) Annual Event Community Event Educational Event Fundraiser Legislative Event Networking Event Event Start Date (MM/DD/YYYY) Event End Date (MM/DD/YYYY) (Should be same as event start date unless multiple day event) Event Start Time 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 PM AM Event End Time (not required, leave blank if unknown) 1 2 3 4 5 6 7 8 9 10 11 12 : 00 05 10 15 20 25 30 35 40 45 50 55 PM AM Event description, details and additional information Email address for questions about the event. (not displayed publicly) Location/Directions Physical address where the event will take place. (No PO Boxes) City State Zip Phone number for questions about the event. (displayed publicly) Special Registration URL - Enter the full path URL (For example, http://www.website.com) Overriding Weather Information Link Leave this box blank if you have entered the Zip Code Overriding Map Link