Promoter/Organizer
Contact Email (Internal Use)
_____________________________________________________________________________________________
Venue Name
Venue Address
City
_____________________________________________________________________________________________
Start Time (e.g. 6:00pm)
End Time (e.g. 8:00pm)
_____________________________________________________________________________________________
Start Date
Month
Select
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February
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April
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September
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November
December
Day
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Year
Select
2012
2013
2014
2015
End Date
Month
Select
January
February
March
April
May
June
July
September
October
November
December
Day
Select
1
2
3
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5
6
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31
Year
Select
2012
2013
2014
2015
_____________________________________________________________________________________________
Does the Event Repeat?
Select
No
Yes
If Yes, How Often? (weekly,
monthly, ect.)
_____________________________________________________________________________________________
Event Link (Website, Facebook,
ect.)
Event Type
Select
Activity
Cocktail
Community
Discussion
Music
Party
Professional
Theatre
Travel
Other
_____________________________________________________________________________________________
This Section is Optional.
Age Range
Select
All Ages
18+
21+
25+
35+
Audience
Select
Everyone
Lesbian Only
Queer Women
LGBT
Additional Event Information
(100 Characters)