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Comments

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Does your request involve an event or fundraiser*

YES

First Name

Last Name

Email*

Phone*

Location*

Please select the location you are inquiring about, if applicable.

Message*

Event Date & Time*

Start Time*

End Time*

Event Location / Address

Street Address City State / Province / Region ZIP / Postal Code Country

Expected Attendance*

Please enter a number from 1 to 1000.

Audience Type / Who’s Attending

Families, students, coffee lovers

Opportunity for Sampling / Giveaways**

Yes

Canal Coffee Truck Appropriate (NC only)?*

Yes

If Truck = Yes → Power / Water Available?

Yes

Upload Event Flyer / Proposal (optional)

Max. file size: 2 GB.