Event Request Form
Please completely fill out all information being requested. Complete information is necessary in order to expedite the decision process. If you should have any questions regarding this form please contact our office 808-935-8874 and press 1 for the operator.
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Email *
Name *
Job Title *
Phone number
What is your connection to this event?
Organization Name
Event Name
Event Category *
Program Subject *
Event Start Date *
Event Start Time *
Event End Date *
Event Address <If there are multiple locations, please indicate the date and times at each location.> Example: 91 Mohouli Street, Hilo, Hawaii 96720 9:00 am, 73-4855 Kanalani Street, Kailua-Kona, Hawaii 96740 12:00 pm) *
Are you a 501 c non-profit organization? *
Indicate if any of the following elements will be utilized at the event
Power Point Presentation
Audio Tracks
Sound Mixer or Sound Board
Clear selection
Is there a cost for your event? if so, where do proceeds go, and are you willing to waive the fees for NLTV production staff? *
Additional Information (Please describe your event in detail, i.e., who will be speaking, how many people you expect to attend, event description, etc.) Provide as many relevant details as possible. *
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