Z88.3 Air Staff Request

Thank you for inquiring about a speaker from Z88.3 to be a part of your event! Please fill out and submit the form below and the Z88.3 Promotions Team will contact you to follow up regarding your request. We appreciate your interest in Z88.3!

Name*
First Last
Email*
Phone*
Organization Name*
Non-Profit Confirmation*
Is the organization running the event a non-profit (501(c)3)?
- Yes
- No
Event Name*
Event Date*
MM slash DD slash YYYY
Event Start Time*
Please tell us what time your event will begin.

: Hours

Minutes

AM/PM
Event End Time*
Please tell is what time your event is scheduled to end.

: Hours

Minutes

AM/PM
Event Location Name*
Please tell us the name of the location where your event is being held. Example: Church name, park name, etc.
Address*
Please tell us the street address for the location where your event is taking place.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Event Website*
Please enter the direct link to the website where information for this event will be posted.
Previous Events*
Have hosted this same event in the past?
- Yes, we have previously hosted this event.
- No, this is the first year for this event.
Number of People Who Attended Last Event*
Please give us the approximate number of people who attended the most recent event.
Number of People Expected to Attend*
Please give us the approximate number of people that you expect to attend this event.
Is this event open to the public?*
- Yes
- No
Event Charge*
Please tell us how much you are charging to attend this event. If it is a free event, please write the number 0.
Event Description*
Please tell us a little about your event here.
Day of Event Contact Person's Name*
Day of Event Contact Person's Cell Phone Number*
*
- I understand that filling out this form does not guarantee that Z88.3 will be able to book a speaker for my event.
Comments
This field is for validation purposes and should be left unchanged.

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Z88.3 Air Staff Request