Guide Dog Foundation or America's VetDogs?  AVD BOTH GDF Required Field

Name of Organization Please enter the name of the organization

Address of Organization

Address Line1      Please enter the address of the organization

Address Line2     

City                       Required Field

State                     Alabama Alaska Alberta Arizona Arkansas Armed Forces Armed Forces America Armed Forces Pacific British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Lousiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Please enter the address of the organization 

Zip                        Please enter the address of the organization

Website               

Event Name   Required field

Date of Event  

Time of Event  Please enter event time

Event Address Line1  Event address 1 is required

Event Address Line2 

Event City  Event City is required

Event State  Alabama Alaska Alberta Arizona Arkansas Armed Forces Armed Forces America Armed Forces Pacific British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Labrador Lousiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Event State is required

Event Zip  Required Field

Duration   Please enter duration of event

At what time is the representative expected to attend and speak?  Required field

Is meal and/or transportation provided for the speaker?  Required Field

What is the dress code?  Dress code is required

Audience  Adults Children Both Required Field

If children, age range: 

# Adults Attending?   Required field
# Children Attending?  

Type of Opportunity  Information Table Mingle and Chat Speaking Opportunity Please choose opportunity type

Is this a Fundraising Event?  Does Not Apply No Yes

Will your group be presenting a monetary donation?  Yes No Required field

Will there be a check presentation?  No Yes Required field

Have you or your group made a contribution in the past to either the Guide Dog Foundation or America's VetDogs?  No Yes Required field

Will your group be presenting items to donate?  No Yes Required Field

Is your event In/Outdoor?  Indoor Outdoor Please select In/Outdoor

Will a table and chairs be provided?  Yes No Required field

Are you requesting materials i.e. literature, banners, etc. to be provided for attendees?  No Yes Required field

Is this a photo opportunity?  No Yes Required field

Parking Availability: Onsite Parking Available Paid Parking Only Street Parking Only

Please list details or additional information: 

Is this an opportunity to recruit volunteers?  No Yes Required field

Comments: 

Main Contact Info:

First Name   Please enter main contact name

Last Name  Please enter main contact name

Primary Phone  Please enter main contact phone

Secondary Phone 

Email Address  Email is required

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ALL FIELDS ARE REQUIRED