WATER CONSERVATION EVENT REQUEST
FC 1782 (10-06-14)
Thank you for your interest in the Santa Clara Valley Water District’s Water Conservation Programs. To request staff attendance or materials for your
event, please complete all fields on this form and submit to conservation@valleywater.org, or fax to (408) 979-5639. For questions, please call
(408) 630-2554. Event participation is dependent on staffing availability. We will respond to your request as soon as possible.
EVENT INFORMATION
EVENT NAME:
EVENT DATE(S):
EVENT HOURS:
FROM
TO
EVENT LOCATION:
ADDRESS:
CITY
ESTIMATED NUMBER OF ATTENDEES:
RSVP BY (DATE):
STATE
ZIP
TARGET AUDIENCE:
CONTACT INFORMATION
EVENT ORGANIZER:
CONTACT NAME:
CONTACT PHONE NO.:
CONTACT EMAIL ADDRESS:
LOGISTICS
INDOOR/OUTDOOR:
FEES:
TABLE & CHAIRS PROVIDED:
Yes
No
BOOTH PROVIDED:
Yes
No
ELECTRICITY PROVIDED:
Yes
No
SPEAKER NEEDED:
Yes
No
MATERIALS REQUESTED:
DESCRIPTION OF EVENT:
DISTRICT USE ONLY
DATE RECEIVED:
EVENT STATUS:
STAFF:
Yes
ATTENDEES:
No
MATERIALS/QUANTITY:
NOTES:
APPROVED BY: Print & Sign
DATE