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Community Services Division Request

  1. Event Information

  2. Units:

  3. Contact Information

  4. Type of Agency/Group:

  5. Services Requested

    Services Requested: Describe in detail what you are requesting the unit(s) to do. Audience Demographics: Provide approximate size of audience(s), age ranges and other factors/information that will assist staff in preparing for the event. Description:

  6. Note: Before submitting electronically it is important that you print out and retain a copy of completed form for your records. Also, as a reminder, note that a submission is not a guarantee of acceptance. To verify receipt and check status of your request, call the Community Services Division at (919) 560-4438 extension 29224 or the DPD Public Affairs Office at 560-4322 extension 29194.

  7. Leave This Blank:

  8. This field is not part of the form submission.