Person submitting event * Email for person submitting event * Chapter * Maryland / DCNew JerseyNew YorkPennsylvania / DelawareVirginiaWest VirginiazOther
Name of Event * Event Location / Address *
Location Name & Street Address Location Name & Street Address Additional location details (suite, parking lot, booth #, etc) Additional location details (suite, parking lot, booth #, etc) City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal
Date of Event * Start date if multi-day event End Date If multi-day event (leave blank if single day) Time / Duration of event * Website/URL for event If there is a main event website that MAGDRL is participating in, please paste here (N/A if it’s a MAGDRL event) Event Description for MAGDRL Website * Event Image or Logo for use in posting Drop a file here or click to upload Choose File
Maximum file size: 516MB
Person submitting donations * Email of person submitting donations * Total Donations received Payment Method PayPal / Credit Card Mail in Check Check # Mail To:
Payment Received NoYes Check Received NoYesNo payments via check Check No. Date payment received Submit If you are human, leave this field blank.
Δ