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Registration is free of charge

Participant*

Contact Name*
Contact Title

Choose one of the following
AWC/NAU Program  AWC/NAU Student Organization  Community Organization  

Phone*
-- Ext.
Fax
-- Ext.

Email*

Activity Details* Briefly describe your activity-What will your audience learn? What does your program offer the college or the community.

  

Fundrasing (Food Service) Fundrasing (Clubs Only) Please list what food/drink/or item you are selling with suggesting pricing (ex. Hot dogs-$1.50) NOTE: All requests to serve food are "first come, first served" we will contact you if your item has already been reserved. Please bring your own equipment to prepare food and follow all food preparation guidelines).

  

One six foot table will be provided.
I do not require a table

Number of chairs needed

I will be bringing a vehicle for display Yes No

I will require
Internet access  Electricity (limited access)  Grounded outlet  240V  

List equipment that requires electricity

  

AWC Members Only - List equipment needed from the Helpdesk
(we will contact the help desk separately with your request)

  

I will be glad to
Share table  Provide my own tent  Donate a door prize  

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