FORM 2

PRESENTATION/PROGRAM PROPOSAL FORM

* Indicates required field

Presenter's Name *

First

Last

Email *

Phone Number *

Event Title & Description *

Preferred Dates & Hours *

Alternate Dates & Hours *

Max Number of Participants *

Min Number of Participants for Cancelation *

Room Preference *

Will You Be Serving Food or Beverage? *

Will This Be Free? *

If This Is a Series, Will You Allow a Drop Ins? If So, What Is the Fee? *

If Not, Charge Per Person (Split 35% to LBS, 65% to You) *

If Any, What Handouts Are You Providing? *

Please Indicate Which of the Following You May Require: TV with VCR, LCD Projector, DVD Player, White Erase Board, Wireless Mic (MPR only), Directional Signs, Lectern with Mic) *

If Conducting Drawing or Giveaways, Please Explain *

You will be notified when your application has been received.
If we are able to move forward with your project, we will also require:

A resume of experience and educational background
At least one teaching reference including agency and contact name & number
Copy of class outline that you intend to follow when making your presentation

If approved, we require 45-60 days to schedule and promote your program in our newsletter, website and monthly eblast.

Submit

LAGUNA BEACH SENIORS
AT THE SUSI Q
380 THIRD STREET
LAGUNA BEACH CA 92651
MON-FRI 9:00-3:00
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PRESENTATION/PROGRAM PROPOSAL FORM

LAGUNA BEACH SENIORSAT THE SUSI Q380 THIRD STREETLAGUNA BEACH CA 92651MON-FRI 9:00-3:00NEW PHONE NUMBERS!

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MAKE A DONATION

LAGUNA BEACH SENIORS
AT THE SUSI Q
380 THIRD STREET
LAGUNA BEACH CA 92651
MON-FRI 9:00-3:00
NEW PHONE NUMBERS!