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2. Event Registration Form
3. 
5. Name of Business or Organization:*
6. What Type of service or product are you providing? *
8. Name of Event:*
9. Check One *

   1. Volunteer
   2. Participant
   3. Sponsor
10. Email Address: *
12. Who will be attending this event:?*
13. Contact Number:*
14. Date of Event*
    Date of Event
16. Are you able to provide your own tables and chairs for this event? *
    -- Select One --YesNo
17. Do you need WIFI or an Electricity? *
    -- Select One --WIFI ONLYElectricity ONLY BothNeither
19. Additional Comments
21. If you have any questions, please contact Community Resource Coordinator Irma Terry @ (386) 314-4849

    This event may be attended by Advisory Boards and/or City Commissioners

    The City of NSB appreciates your partnership

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field