NAMI NTX Event Request
Email address *
Organization Name *
Your answer
Event Description *
Audience Demographic *
Event Date *
MM
/
DD
/
YYYY
Start time *
Time
:
End time *
Time
:
How many will attend? *
Your answer
Event Address *
Your answer
What type of set-up is available? How many chairs? Will there be a table? *
Your answer
Contact Name *
Your answer
Contact Phone *
Your answer
Parking instructions and room directions *
Your answer
Comments/Additional information
Your answer
Thank you
Thank you for your request. We will be in touch!
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