PPFL Program Proposal
Please use this form to apply to host a program at the Pine Plains Free Library. We will get back to you as soon as possible.

All programs must be free and open to the public. No business solicitations please.
Email address *
Name
Your answer
Phone Number
Your answer
Your website (if applicable)
Your answer
Name of Program
Your answer
Are you offering this program for free? If not, what are you charging?
Your answer
Target audience (check all that apply)
Detailed description of the program
Your answer
What size audience do you anticipate? Is there a cap to the number of people who can attend?
Your answer
Are there any necessary materials or equipment you will need us to provide? If so, what?
Your answer
Preferred date?
MM
/
DD
/
YYYY
Backup date?
MM
/
DD
/
YYYY
Preferred time?
Time
:
Backup time?
Time
:
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