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Your Event

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Start Time*

Duration* -- One Hour Two Hours Three Hours Four Hours

Event Description — tell us about your event*

Your Organization

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Country*

Mailing Address*

City*

State*

Zip Code*

Your Information

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Organizer’s Last Name*:

Organizer’s Phone*:

Organizer’s Email*:

Venue Information

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Venue Address*:

Venue City*:

Venue State*:

Venue Zip*:

Venue Contact’s First Name:

Venue Contact’s Last Name:

Venue Contact’s Email:

Venue Contact’s Phone:

Other Details

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Event URL:

Who is your catering company?:

Other beverages served*:

Number of attendees of legal drinking age:

Sponsor Benefits:

By sumbitting this form, I give consent to Bently Heritage, L.L.C. to process and store the personal data on this form in accordance with their privacy policy. The personal data submitted via this form will be retained for the purpose of responding to and processing your request.