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2017 PCM Community Canopy Application
Please read the Petworth Community Market Community Canopy Outreach Program Opportunity Information. Provide the information requested below and submit to the Petworth Community Market at least one week prior to your requested date.
Organization Name
Your answer
Mailing Address
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Contact Person *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
501(C)(3) Number
Your answer
Website Address
Your answer
Description of your Organization *
Please provide a brief description of your organization and mission.
Your answer
Description of Community Canopy Activities *
Please describe how you plan to use the Community Canopy including any interactive activities or demos.
Your answer
Multiple Markets *
Please let us know if you are interested in reserving the community canopy for more than one market. If we have the availability, we will let you know.
Market Preference *
Please provide which dates you are available to reserve the Community Canopy. Please provide at least two in case we have scheduling conflicts. We will select one of your dates and confirm with you. Note that the market runs Saturday from 9am-1pm. Setup begins at 8am.
Your answer
Assistance with Activity *
Would you like volunteer assistance with your activity?
Your answer
If yes, what kind of assistance will you need?
Your answer
Access to Electricity *
Will you need access to electricity to run your activity?
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