Powering Progress Event In A Box Request Form

Thank you for hosting a Spring Into Action event with Powering Progress! This is a request form for an “event-in-a-box” specifically for community tabling. If you are hosting a different type of event, you can buy materials and submit the expenses for reimbursement.

Name*

First Name

Last Name

Email*

Confirm Email *

Location*

City

State

ZIP Code

Group Name*

Role in Group*

Would you like the materials be shipped to you or someone else?*

Self Other

Name for Shipment*

First Name

Last Name

Email for Shipment*

Phone Number for Shipment*

Shipping Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Any special instructions for delivery?

Do you already have a tabletop spinner?

Yes No

What is the date of your event?*

What is the link to your event registration page?*

Please add any questions, comments, or concerns you may have below.