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