Communications Request Form Requester Name* First Last Email* Requester AMA Knoxville Title Event Type (Check All That Apply)* Luncheon Workshops Conference Honors Members-Only Volunteer Appreciation Other Please Specify Ticket Prices* Free Standard Luncheon Pricing Special Event Pricing Other Please Specify Any Discounts? If So, Who Do They Apply To? Food/Beverages Served? Yes No Meal Type Sit-Down Dinner Light Drinks & Appetizers Event/Program Title* Date of Event/Program* MM slash DD slash YYYY Start Time of Event/Program* : Hours Minutes AM PM AM/PM End Time of Event/Program* : Hours Minutes AM PM AM/PM Will event be held at the regular event location?* Yes No Event/Program Venue* Venue & Address of Event/Program* Venue LogoMax. file size: 2 MB.Venue 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?* Yes No https://www.amaknoxville.com/speakerform/Deadline given for Speaker Information Request Form* MM slash DD slash YYYY Any additional sponsors outside of annual?* Yes No Event/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. Δ