Michigan ENA

Website Announcement Form

Date of Event: ______________________________________________________

Time of Event: ______________________________________________________

Name of Event: _____________________________________________________

Speaker: ___________________________________________________________

Sponsor of Event: ___________________________________________________

Address of Event: ___________________________________________________

Coordinator of Event: _________________________________________________

Coordinator’s Phone Number: _________________________________________

Coordinator’s email: _________________________________________________

RSVP information: ___________________________________________________

Dinner included: ____________________________________________________

Cost of event: _____________________________________________________

__

CE offered: _________________________________________________________

Attach Flyer if available.

Send picture if available.

Requesting: Posting on website __________Email to membership__________

Please fill out form and email to: Gerri Muller at gerrimuller@prodigy.net