WIMNA Chapter Event Info Request - Women in Motorsports North America

WIMNA CHAPTER EVENT
INFORMATION FORM

Full Name

Cell Phone

Chapter

Event Name

Event Date

Event Price

Event Location Name

Event Location Street Address

Event Location City

Event Location State

Event Location Zip

Event Start Time

Event End Time

Time Zone

Food and beverage?

Parking Instructions

Event Overview

Age Restriction

Agenda

Speakers

Upload Photos of Speakers (MAX of 5 images; only file types accepted: JPG, PNG, PDF)

Social media graphics needed (check all that apply):