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Bring Christie's Caffeination Station to Your Event - Interest Form
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* Indicates required question
Event name
Your answer
Date
*
MM
/
DD
/
YYYY
Time
*
Time
:
AM
PM
Event Length
*
Choose
1 Hour
2 Hours
4 Hours
6 Hours
8 Hours
Will Your Event Require A Special Event License/Permit?
*
Choose
Yes
No
I Do Not Know
Location of Event
*
Your answer
Is power available at the event?
No
15 Amp Service
20 Amp Service
30 Amp Service
50 Amp Service
I Do Not Know
Other:
Estimated Number of Attendees
*
Choose
1-25
25-50
50-100
100-500
500-1000
1000+
Desired coffee services (e.g., cold brew, drip coffee, specialty drinks)
Your answer
Contact Person (First, Last Name)
*
Your answer
Telephone Number (123) 456-6789
*
Your answer
Email Address
*
Your answer
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