CN EcoConnexions - Event Profile (America in Bloom)

CN EcoConnexions - Event Profile

Information *This question is required.

Recipient

Name of Project

Event Date

Event Start Time

Event End Time

Event Location Address

City

State

Zip Code

Event Coordinator (Last Name)

Event Coordinator (First Name)

Phone Number

Mobile Phone

E-mail

Municipality Key Contact (First Name)

Municipality Key Contact (Last Name)

Phone Number

Mobile Number

E-mail This question requires a valid email address.

Description of the event *This question is required. Please include the itinerary, run sheet, speaking order

Estimated number of trees & shrubs that is expected to be planted with the CN EcoConnexions Grant: *This question is required.

Trees

Shrubs

Please upload up to three pictures of the current state of your project site. *This question is required.* Please make sure to click on the "upload" button

File: {{filename}} delete

Local Stakeholders of Forestry, Horticultural Associations and Community Groups *This question is required. Please specify the organization and name of representatives

Key Dignitaries: *This question is required. Please specify the name and title only

Local Media(Environmental Media and Editors):

Space Cell	Media Name	Name of Contact	Telephone Number	E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail
Local Media	Local Media: Media Name	Local Media: Name of Contact	Local Media: Telephone Number	Local Media: E-mail

Representatives

CN
America in Bloom

Special Notes (if applicable)

CN EcoConnexions - Event Profile (America in Bloom)

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