PERSONAL APPEARANCE REQUEST FORM Today’s Date: Organization Name: Event Title/Description (monthly meeting, fundraiser/gala, awards banquet, etc.):
Event Location (include address): Appearance Date Requested: (day)
(date)
(If you are not tied to a specific fate, please list alternative dates or a range of date options)
Time of appearance:
Expected Number of Attendees: (from/to)
WISN Personality Request (in order of preference): 1. 2. 3. Sometimes, due to scheduling or other conflicts, the personalities listed above are not available, would you be interested in other WISN personalities substituted as available? Yes No What would you like the WISN personality to do at your event? (Give weather-talk, emcee, kick-off/start walk/run, etc.)
Additional information/notes (if any): Have we emceed this/other events in the past for your organization? (If so, When and which WISN talent?) _______________________________________________________________________ Name of person making request: Title (principal, club/org. president, etc.): Phone Number(s): _____________________________________________ Email: _______________________________________________________ Please return to
[email protected]