Flyer Request
Must be received in home office 45 days prior to event or R.S.V.P. date.
Chapter #
Required
Event Title:
Required
Event Date:
Required
Event Time
Place:
Required
Address:
City, State
R.S.V.P. Date:
Cost, If any
Is this a Matching Funds event?
Yes
No
Please make a selection.
If yes, who is the recipient of the funds?
What will funds be used for:
This event is for:
Join Hands Day
Make a Difference Day
Adopt-a-School
TV-Turnoff Week
CFL Education Foundation
Are posters needed?
Yes
No
Number of Posters Needed
Event Contact Person:
Required
Phone #
Required
I am requesting a family activity bonus for this event (limit 2 per year).
Yes
No
Please include any other information that would help encourage people to attend.
Person Submitting form
Required
Phone #
Required
Email:
Required
Invalid format.
Before submitting your request, print this page for your records.