Chapter Activities Form

Chapter Activities Form

PAS Chapter:

Submission Type:

Informative (for PAS's knowledge and to be listed with upcoming chapter events)Request for Promotional Materials

*If you are making this request less than 10 business days prior to your event, PAS cannot guarantee that promotional materials will arrive in time for your event.

Primary Contact Information

First Name:

Last Name:

Email Address:

Phone Number:

Shipping Contact Information

Shipping Contact:

Same as Primary ContactDifferent Shipping Contact

First Name:

Last Name:

Email Address:

Phone Number:

First Name:

Last Name:

Email Address:

Phone Number:

Shipping Information

Address

City

Country

State/Province

State

Provinces

ZIP/Postal Code

General Event Information

What type of event are you hosting?

Clinic(s)Percussion Workshop/FestivalOther

If other, please define the type of event:

Does your chapter have a PAS banner?

YesNo

Event Details

Event Name:

Event Location:

Event City:

Event State/Province:

Start Date:

Estimated Attendance:

1-5050+

Additional notes or instructions:

Please upload any promotional flyer(s) that you would like to share:

Please upload a detailed event budget:

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Contact Information