Submit your CEH Day event/activity
First Name *
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Last Name *
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E-mail address *
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Who is leading/hosting this event/activity? *
Organization/Affiliation
If your organization/agency/business is leading/hosting, please include its name.
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Type of event or activity *
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Event/Activity Title *
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Brief Event/Activity Description *
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Date of Event or Activity *
If for Proclamations, please put date when Proclamation request is sent.
MM
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DD
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YYYY
City of Event or Activity *
Please provide your City here, even if you are requesting a State proclamation.
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State of Event of Activity *
Please use your state's 2 letter abbreviation.
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Website for the Event or Activity if available
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