National Moth Week - July 22-30,  2023
Enter information about your National Moth Week event in the form below.
Information entered under 'Your Contact Information' is for NMW use only.
Information under  'Event Information' will be published on the map.
Thank you for your participation. For questions about this form, send email to info@nationalmothweek.org
Sign in to Google to save your progress. Learn more
Public or Private Event *
First Name *
Last name *
Your Contact Information - for NMW use only
For private and public events, please enter contact information for event organizer or the primary contact person for your event. This information is for NMW use only and will not be published.
PUBLIC CONTACT INFORMATION WILL BE ENTERED LATER ON THIS FORM.
E-mail *
Please make sure your email address is spelled correctly. The form will accept only addressed in the form myname@email.xxx
Telephone number
Please include country code.
Event information - for the NMW map
Information you provide below will be published on the map to show where NMW events are taking place around the world.
If your mothing is private you may omit personal addresses, phone numbers, and/or email addresses from this section that you do not wish to have published.
Sponsoring organization
Leave blank if your event is private or is not sponsored
Country       *
Chose your country from the drop-down menu below
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy