Event Information Form

EVENT DETAILS

Event Name:

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Event Start Date:

Event End Date:

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Event Start Time:

Event End Time:

# of Refresh Vehicles Requested:

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Primary Contact First Name:

Primary Contact Last Name:

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Primary Contact Title:

Primary Contact Email:

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Primary Contact Phone:

Event # of Attendees (est):

Event # of Attendees to use Van (est):

Event Type (choose one):

Event Web Page:

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Event Address:

Address Line 1

City

State

Zip Code

Details on where the Van will be parked (See Vehicle Set up Specific):

Arrival / Load-in and Departure Details and Times:

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Upload Sitemap:

Click or drag a file to this area to upload.

Having trouble with attachments? Hold of for now and complete/submit the rest of this form and we’ll make arrangements to obtain from you another way.

Is there a 20 amp electrical outlet?

Yes
No

Electrical Outlet Comments:

Setup Location (Images):

Click or drag a file to this area to upload.

Details and Directions for Parking Vehicle:

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Are there water hookups?

Yes
No

Water Hookup Comments:

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Are there sewer hookups?

Yes
No

Sewer Hookup Comments:

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Is there a dumpster near for trash?

Yes
No

Dumpster Comments:

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Will Refresh need a parking pass?

Yes
No

Parking Pass Comments:

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Is there an entry fee and tickets provided to our staff?

Yes
No

Entry Fee and Tickets Comments:

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Venue Security Name:

Security Contact Phone:

Upload: Incident Action Plan (IAP) or Event Action Plan (EAP)

Click or drag a file to this area to upload.

Having trouble with attachments? Hold of for now and complete/submit the rest of this form and we’ll make arrangements to obtain from you another way.

MARKETING

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Marketing Contact Name:

Marketing Contact Email:

Marketing Contact Phone:

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Can we post signs on site?

Yes
No

Signage Comments:

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Can we collaborate on social media posts?

Yes
No

Social Media Comments:

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Is it possible to include Refresh on event map?

Yes
No

Event Map Comments:

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Are there other groups we should collaborate with to help promote?

Yes
No

Who?

BILLING INFORMATION

Company/Organization:

PO Number:

Billing Contact Name:

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Billing Address:

Address Line 1

Address Line 2

City

State

Zip Code

Certificate of Insurance (COI) should be directed to:

Method of Payment:

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COI Address:

Address Line 1

Address Line 2

City

State

Zip Code

OTHER

Is there specific data you would like us to collect throughout the event?

Any Hotel Recommendations for Our Staff?