Harvest Event Request Form — Harvest Assembly

Harvest Event Request Form (HERF)

EVENT INFORMATION

Event Name

Date

YYYY

For Recurring Events, please list Start and End Dates

Start Time

Please account for cleanup time.

Hour

Minute

Second

End Time

Hour

Minute

Second

Location

COORDINATOR INFORMATION

Please provide your contact information so we can get ahold of you if needed.

Name

Phone Number

(###)

###

####

TECH/ROOM SETUP

Audio/Video Needs (Please Specify)

A/V Tech Needed

Yes

Room Setup Instructions

Please include a detailed description of your needed room set-up.