Member Celebration Form


*Company Name   
Brief Company Description:     
Company Website, if applicable:   
Twitter Username, if applicable  
Facebook Page, if applicable  
*Contact Name
(should be the person who will be handling the celebration)
Contact Phone Number:      
*Contact Email:      
Preferred Method of Contact:  (this method will be included in GLI’s Upcoming Events e-newsletter)   
Reason for Celebration:   
*Proposed Event Date: 
(please consult with your Membership Manager
before finalizing the date or time of your event)
   [None] Select a Date Delete the Date
Proposed Event Time:   
Proposed Photo Op Time:  (the moment you will cut the ribbon, cut the cake,
or put the shovel in the ground)
*Event Location:   
*Location Address:   
*Location Zip:  
R.S.V.P. Required:    
Additional Information:  (food, beverages, door prizes, etc)     

 * Required Field


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