Illinois for Bernie Meetup
Email Address *
Your Name
optional
Phone Number
optional
Event Information
Event Date *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Event Location
If you need to update your event information please contact info@illinois4bernie.org. NOTE: Event addresses are public.
Venue Name *
If at your apartment, just name it: [name] apartment
Street Address *
City *
County
Zip Code
Double-check date, time, and location before you submit!
Is the Venue ADA Accessible?
If you don’t know, or do know your event isn’t, please check no
Clear selection
Venue's Max Capacity
Note: we generally encourage folks to double their number of max attendees, to account for some folks who inevitably won't show up day-of. If you hope to have 10 attendees, we recommend setting this value to be 20.
Event Details
Event Name *
Public Description *
Note to Attendees
Submit
Never submit passwords through Google Forms.
This form was created inside of The People's Revolution.