Liability Insurance Request
Email address *
Name of Club Contact: *
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Name of Club Hosting the Event: *
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Name of the Venue: *
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Address of Venue: *
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Purpose of the Event:
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Date of Event: *
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Will Alcohol be served? If yes, will it be complimentary or sold at the event? *
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How Many People are Expected: *
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A copy of your responses will be emailed to the address you provided.
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