Communications Request Form Requester Name* First Last Email* Requester AMA Knoxville TitleEvent Type (Check All That Apply)* Luncheon Workshops Conference Honors Members-Only Volunteer Appreciation Other Please SpecifyTicket Prices*FreeStandard Luncheon PricingSpecial Event PricingOtherPlease SpecifyAny Discounts? If So, Who Do They Apply To?Food/Beverages Served?YesNoMeal TypeSit-Down DinnerLight Drinks & AppetizersEvent/Program Title*Date of Event/Program* Date Format: MM slash DD slash YYYY Start Time of Event/Program* : HH MM AM PM End Time of Event/Program* : HH MM AM PM Will event be held at the regular event location?*YesNoEvent/Program Venue*Venue & Address of Event/Program*Venue LogoVenue Social Media Links (FB, Twitter, Instagram, LinkedIn, Website URL)Description of Event/Program (150-300 words)*Has the speaker been sent the Speaker Information Request Form?*YesNohttps://www.amaknoxville.com/speakerform/Deadline given for Speaker Information Request Form* Date Format: MM slash DD slash YYYY Any additional sponsors outside of annual?*YesNoEvent/Program SponsorsAny Special Promotions? (giveaways, etc.)Any Special Requests?Any other information Communications needs to know in order to prepare for and/or promote this event?NameThis field is for validation purposes and should be left unchanged.