Event Information Form

UA4FOOD - EVENT INFORMATION FAX-BACK FORM

Please submit this form if you would like your food drive to be included as part of UA4Food.

Your group will be listed on the UA4Food website and in other acknowledgement materials.

Please fill out the form completely and fax to The University of Arizona Office of Community Relations at 621-6011.

Event Information:

Event Name _______________________________________________________________________________________

Event Dates ___________________________________________ Times ___________________________________

Location __________________________________________________________________________________________

Brief Description of Event:

Contact Information:

Contact Name(s) __________________________________________________________________________________

Student Group/Dept. Name _______________________________________________________________________

Phone ________________________________________ Fax _______________________________

Address ______________________________________ PO Box ____________________________

Email ____________________________________________________________________________