2-1-1 Presentation Request
United Way 2-1-1, serving Lucas, Wood and Ottawa counties is happy to provide information about our 2-1-1 services. Please provide details regarding the requested presentation and any specific needs of your group. We will contact you to confirm presentation details and the presenting staffer once your information is submitted. Thank you!
Today's Date *
MM
/
DD
/
YYYY
Contact Phone *
Contact Email *
Company/Agency Name *
Is this an Outreach Event or a Presentation? *
Presentation/Event Date *
MM
/
DD
/
YYYY
Requested Arrival Time *
Time
:
Presentation/Event Time *
Time
:
Audience Size?
Audience Type?
Specific Needs of Company/Organization?
Presentation/Event Address *
Presentation Room/Floor/Location Details
Parking Instructions
Any Additional Information:
Submit
Never submit passwords through Google Forms.
This form was created inside of United Way of Greater Toledo. Report Abuse