Website Event Listing Request Form

2. Name of Event (As you would like it to read on our website)

4. Location of Event*
   -- Select One --Berglund Civic Center ColiseumBerglund Civic Center Special Events CenterBerglund Civic Center Exhibit HallBerglund Performing Arts Theatre

6. Date of Event*
   Date of Event

7. Price*

9. Show Hours*
   Show Hours Start Time

   —

   Show Hours End Time

10. Additional Price Details (if available)

12. Open to the public?*
    -- Select One --YesNo

14. Event Description (as you would like it to read on website)

16. Event Website*

18. Contact Name

19. Contact Phone Number

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field