Apply to Host A Mixer

Event information

First Name:
Last Name:
Business/Organization Name:
Phone Number:
Email:
Brief Description of Event Space: indoor/outdoor, other important details:
Do you have a PA system:	udf_386 Yes No Chamber will provide if Host does not have
Do you have a 6' table for registration:	udf_387 Yes No Chamber will provide if Host does not have
Do you have a liquor license:	udf_388 Yes No (host must obtain one for happy hour mixer and can apply for one through the state liquor department)
If not a restaurant, catering will be provided by:
Occupancy of space:
Mixer type:
Preferred Quarter to Host:

Red fields are required.