CPC Event Application Form

Name Name First Last
Name of Event Sponsor
Email
Phone Number
Alternate Phone Number
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Company/Organization Type

Company/Organization Type Profit/Private Non-profit
Describe your organization and its mission
Event Information
Proposed area to be used

Proposed area to be used The Great Hall The Great Hall Gallery 42 bar and table (Restaurant) *Only available Sundays and Monday - Wednesday evenings* Scholars Garden Park Choctaw Commons Choctaw Classroom 1 Choctaw Porch Off-site Location
Description of proposed activity
Audio visual services required for event

Audio visual services required for event Microphone Podium Projector and Screen

Check all that apply. Please note that there are additional fees for the use of audio visual equipment.
Additional special services required for event
Proposed date of events Proposed date of events / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Maximum number of attendees
State the purpose of your event
List government officials, speakers, performers, films, or programs that will be a part of your event
Do you anticipate media coverage of your event?

Do you anticipate media coverage of your event? Yes No
Upload a File

Attach Files

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx ppt pptx
How did you hear about us?
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Keep me updated on news from the Clinton Presidential Center.

Keep me updated on news from the Clinton Presidential Center. Yes No
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CPC Event Application Form

CPC Event Application Form

Event Information

By submitting the application above, I acknowledge that I have read, understand, and accept the terms of the Clinton Foundation's Privacy Policy.