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!
* Required
Today's Date
*
MM
/
DD
/
YYYY
Contact Phone
*
Your answer
Contact Email
*
Your answer
Company/Agency Name
*
Your answer
Presentation Date
*
MM
/
DD
/
YYYY
Requested Arrival Time
*
Time
:
AM
PM
Presentation Time
*
Time
:
AM
PM
Audience Size?
Your answer
Audience Type?
Your answer
Specific Needs of Company/Organization?
Your answer
Presentation Address
*
Your answer
Presentation Room/Floor/Location Details
Your answer
Parking Instructions
Your answer
Any Additional Information:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of United Way of Greater Toledo.
Report Abuse
-
Terms of Service
Forms
