LakeWay Event Request Form

Please submit this form 2 weeks prior to when the event is to be advertised.

Be sure to check with Katie Brumfield ( to insure building or room has been reserved for event before submitting this request.

Please fill in all "required" fields as noted on each field and do not use "TBD" and the like since we need to know full details.

Event Name (required):

Contact Name (required):

Contact Phone (required): (i.e. 972-469-9999)

Contact Email (required):

Alternate Contact Name:

Alternate Contact Phone: (i.e. 972-469-9999)

Alternate Contact Email:

Event Date (required): (i.e. 05/31/2015)

Event Time (required): AMPM

Ministry or Group Name (required):

Event Location (address, room #, building, etc. - required):

Cost of Event (if any):

Would you like a paper flyer designed/printed? Yes

What is the earliest you want to start advertising with these flyers? (i.e. 05/31/2015)

Where would you like to advertise? (required)

Group holding the event? (required)

Target Group? (required)

Special Instructions / Wording of the Ad

Attach graphics you would like to use in ad:

Person Completing This Form (required):