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Community Engagement Request
Thank you for your interest in having Crop Swap LA present at your community event!
Please complete this survey and we will contact you soon after reviewing your responses.
www.cropswapla.org/communityprojects
Crop Swap LA™
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Organization or Company
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
Address
*
Your answer
Type of participation requested?
*
Tabling event
Guest speaker (fill out press & speaker form)
Collaborator
Demonstration/Workshop
Other:
Who are you requesting?
*
CSLA Staff Member
No preference
Materials needed?
*
n/a
Other:
Compensation to be provided?
*
Yes
No
Comments or Questions?
Your answer
OUR VALUES
Crop Swap LA ™ avoids working with groups or organizations that promote tobacco, alcohol, racism, homophobia, or that lack a diverse executive staff.
WE WILL BE IN TOUCH VERY SOON. YOUR SUPPORT AND INTEREST IS GREATLY APPRECIATED.
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