Request PECO Participation

Please submit your request at least 6 weeks prior to the event. You will be contacted approximately 10-14 days after your request is received by PECO.

General Information

*All fields are required.

Name of Organization:
Description of Organization, including number of members:
Contact Name:
Address:
City:
County:
Zip:
Office Phone:
Cell Phone:
E-mail Address:

Event Information

Date of Request:
Event Name:
Date(s) of Event:
Event Location:
Time:
Event Description:
Number of Attendees:
Who is the Audience?: (i.e. Residential, Business-owners, Children, Seniors)
Type of Event: (i.e. Community, Government, Sponsorship, Tradeshow, Non-profit)
Goals of Event:

Materials

Please check off if your event will require the following:	Literature Give Away Items Speaker PECO Representative with table and display