Event Registration

EVENT REGISTRATION FORM

Please use this form to submit your GPNA1957 and community announcements. All requests must be submitted at least 5 business days prior to the event.

First Name

Last Name

Department Name or Community Affiliation

Event Type

UWM Event/Announcement

Community Event/Announcement

Both

Host Department/Organization

Event Title

Event Start Date

Event End Date

Event Start Time

Event End Time

Event Series? If so, please list additional dates/times:

Room # (if none, please leave blank)

Event Address

Address Line 1

Address Line 2

City

State

Zip Code

Event Description

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1136 S. Delano Court West Suite B201, Chicago, Illinois 60605 USA
773-403-5073
[email protected]