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Sponsoring group(s), organization(s), or individual(s):
Person submitting this form:
Date of Event:
Event Location:
Times of event:Start End
Number of guests expected at any one time:
What type of alcohol do you propose to serve? Choose one Keg Beer Canned Beer Wine
Event Host(s): 1 2 3
Other Information, as necessary:
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Last Updated: 9/13/05