National Moth Week - July 23-31, 2022  Registration  
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

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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 This information is for NMW use only and will not be published.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
Outside the U.S., 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
USA State
STATE - For USA registrations only!
Chose your state or territory from the drop-down menu below.
Do not answer if you are outside the USA.
State
Town *
County or Province
Address
A street address is optional, but will help people find your public event.
Other location information
ie: Park / Nature Center / School / Museum...
GPS Coordinates
Optional.                          To find your coordinates in Google maps  - Right-click the place or area on the map.  Select What's here? At the bottom, you’ll see a card with the coordinates. Paste the coordinates below. Here are examples of formats that work:            Degrees, minutes, and seconds (DMS): 41°24'12.2"N 2°10'26.5"          EDegrees and decimal minutes (DMM): 41 24.2028, 2 10.4418                   Decimal degrees (DD): 41.40338, 2.17403
Website
Leave blank if your event is private or does not have a website.
Public email address
Leave blank if your event is private or does not have an email address. Please make sure your email address is spelled correctly. The form will accept only addressed in the form myname@email.xxx
Public phone number
Leave blank if your event is private or does not have a phone number.
Event Date(s)
For Public events - The event is for ages:
Public Event NOT during National Moth Week
If you plan a Public mothing event at any time NOT during NMW, enter the date here.  Your event will be added to the map with a gray marker.
MM
/
DD
/
YYYY
About your event
For Public events please provide details (time, location etc.). For Public and Private mothing you can add a BRIEF DESCRIPTION (under 100 words) of what you'll be doing at your NMW event. This information will be published on the map.    
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