Name of Organization:
Address:
City:
State:
Zip:
Tel: ()
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Ext.:
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E-mail:
Web Site:
Contact Name:
Contact Telephone
Number(s) (Home, Office, Cell)
How did you hear about Juneteenth.com:
Majority Age Group of members:
0-30
31 - 45
46-55
over 55
Race / Nationalities of members:
Number of years celebrating Juneteenth:
*Tell us about your organization (age, size, mission,
Juneteenth activities, etc.):
How is
your Juneteenth event funded?
Is your
organization interested in sponsorship for your
Juneteenth events? If yes, are there particular
areas/expenses in which you would direct such funds?
Approximately, how many people attend your event?
Describe
the activities that are typically hosted at your
Juneteenth event.
Approximately, what is the budget for your
Juneteenth event? $
On what
items does your organization typically spend money in
preparation for your Juneteenth event?
What items
do you typically sell at your Juneteenth event?
Do you
recruit local or national talent to perform at your
Juneteenth event?
Is your
event covered by local or national media?
Do you
have an estimated economic impact of your event?
*Are you a member of or affiliated with any
other national Juneteenth organizations? If yes, please list affiliations, if no
please state "none":
Would you like to receive
information from other national Juneteenth organizations?
(Yes / No)
Yes,
we would like additional information on the Juneteenth World Wide Celebrations products to
accessorize our event.
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