SLP Networking Event Request

Email

Brief description of the event:(Required)

Date and time of the event:(Required)

Date and time on which the registration will be closed:(Required)

Location of the event:(Required)

Registration limit:(Required)

CEUs earned:(Required)

Cost(Required)

Menu:(Required)

Other:(Required)

Information to include on the registration thank you page (i.e. who to contact if cancelling/questions and contact info):(Required)

Who will be hosting?(Required)

Who do you want to be invited to register?(Required)

We will only be able to narrow down SLP’s by location if they have given us their address as some point. And it needs to be specific. For example, we would only be able to pull a list of SLPs who have Example: “Princeton” in their City property .

Any call-to-action you’d like them to perform before the event:

Any additional information you think we need to know: