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Event Production Request Form

Please complete the form in its entirety to ensure your request is received. Should you need assistance, please contact Mike Seif at Mike.Seif@ocfl.net or call 407-685-9097.

All requests and emails will become part of Orange County public record. In compliance with "Government in the Sunshine" laws, Orange County Government must make available, upon request, any and all information not deemed a threat to the security of law enforcement agencies and personnel.

Event Information

Name of Event*

Date of Event (mm/dd/yyyy)*

Event Start Time (hh:mm am/pm)*

Event End Time (hh:mm am/pm)*

Requesting Agency / Organization*

Requesting Agency Contact Person*

Title*

Office Phone No.*

Cell Phone No.*

Email Address*

Brief Description of Event*

Characters left: 1000

Type of Event*

Speakers and Panel Participants

Number of speakers*

Key Speakers*

Characters left: 1000

Number of panel participants*

Names and titles of all panel participants, etc.*

Characters left: 1000

Location Information

Name of Location*

Address*

Room / Area*

Contact Person's Name*

Contact Person’s Phone No.*

Contact Person's Email*

Other

AV Company Name*

AV Company Contact Info*

Characters left: 1000

Directions*

Characters left: 1000

Special Equipment Needs*

Characters left: 1000

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