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				  <h3 class='title'>Request an Event</h3>
				  
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		<div class="description wysiwyg">
		
			<P>Thank you for contacting the Cumberland Astronomical Society. &nbsp;Do you have an event or request?<br /><br />Please allow up to 48 hours for us to respond. &nbsp;Please do not make request if not over two weeks out. &nbsp;<br /><br />&nbsp;</P>
		

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		<p>Please complete this form to request an Event or Service from our club.</p>
		
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			  <INPUT TYPE="hidden" NAME="Club_ID" VALUE="101">
			  <INPUT TYPE="hidden" NAME="Event_ID" VALUE="0">
              <h3 class='form_heading'>EVENT DETAILS</h3>
              <ul class='form_container'>
                <li>
                  <fieldset class='date'>
                    <label>
                      Requested event date
                    </label>
                    <select class='dropkick_menu' id='StartMonth' name='StartMonth'>
                      <option value=''>Month</option>
                      
						<OPTION VALUE="1">Jan</OPTION>
					  
						<OPTION VALUE="2">Feb</OPTION>
					  
						<OPTION VALUE="3">Mar</OPTION>
					  
						<OPTION VALUE="4">Apr</OPTION>
					  
						<OPTION VALUE="5">May</OPTION>
					  
						<OPTION VALUE="6">Jun</OPTION>
					  
						<OPTION VALUE="7">Jul</OPTION>
					  
						<OPTION VALUE="8">Aug</OPTION>
					  
						<OPTION VALUE="9">Sep</OPTION>
					  
						<OPTION VALUE="10">Oct</OPTION>
					  
						<OPTION VALUE="11">Nov</OPTION>
					  
						<OPTION VALUE="12">Dec</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='StartDay' name='StartDay'>
                      <option value=''>Day</option>
                      
						<OPTION VALUE="1">1</OPTION>
					  
						<OPTION VALUE="2">2</OPTION>
					  
						<OPTION VALUE="3">3</OPTION>
					  
						<OPTION VALUE="4">4</OPTION>
					  
						<OPTION VALUE="5">5</OPTION>
					  
						<OPTION VALUE="6">6</OPTION>
					  
						<OPTION VALUE="7">7</OPTION>
					  
						<OPTION VALUE="8">8</OPTION>
					  
						<OPTION VALUE="9">9</OPTION>
					  
						<OPTION VALUE="10">10</OPTION>
					  
						<OPTION VALUE="11">11</OPTION>
					  
						<OPTION VALUE="12">12</OPTION>
					  
						<OPTION VALUE="13">13</OPTION>
					  
						<OPTION VALUE="14">14</OPTION>
					  
						<OPTION VALUE="15">15</OPTION>
					  
						<OPTION VALUE="16">16</OPTION>
					  
						<OPTION VALUE="17">17</OPTION>
					  
						<OPTION VALUE="18">18</OPTION>
					  
						<OPTION VALUE="19">19</OPTION>
					  
						<OPTION VALUE="20">20</OPTION>
					  
						<OPTION VALUE="21">21</OPTION>
					  
						<OPTION VALUE="22">22</OPTION>
					  
						<OPTION VALUE="23">23</OPTION>
					  
						<OPTION VALUE="24">24</OPTION>
					  
						<OPTION VALUE="25">25</OPTION>
					  
						<OPTION VALUE="26">26</OPTION>
					  
						<OPTION VALUE="27">27</OPTION>
					  
						<OPTION VALUE="28">28</OPTION>
					  
						<OPTION VALUE="29">29</OPTION>
					  
						<OPTION VALUE="30">30</OPTION>
					  
						<OPTION VALUE="31">31</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='StartYear' name='StartYear'>
                      <option value=''>Year</option>
                      
						<OPTION VALUE="2021">2021</OPTION>
					  
						<OPTION VALUE="2022">2022</OPTION>
					  
						<OPTION VALUE="2023">2023</OPTION>
					  
						<OPTION VALUE="2024">2024</OPTION>
					  
						<OPTION VALUE="2025">2025</OPTION>
					  
						<OPTION VALUE="2026">2026</OPTION>
					  
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='date'>
                    <label>
                       Backup date
                    </label>
                    <select class='dropkick_menu' id='BackupMonth' name='BackupMonth'>
                      <option value=''>Month</option>
                      
						<OPTION VALUE="1">Jan</OPTION>
					  
						<OPTION VALUE="2">Feb</OPTION>
					  
						<OPTION VALUE="3">Mar</OPTION>
					  
						<OPTION VALUE="4">Apr</OPTION>
					  
						<OPTION VALUE="5">May</OPTION>
					  
						<OPTION VALUE="6">Jun</OPTION>
					  
						<OPTION VALUE="7">Jul</OPTION>
					  
						<OPTION VALUE="8">Aug</OPTION>
					  
						<OPTION VALUE="9">Sep</OPTION>
					  
						<OPTION VALUE="10">Oct</OPTION>
					  
						<OPTION VALUE="11">Nov</OPTION>
					  
						<OPTION VALUE="12">Dec</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='BackupDay' name='BackupDay'>
                      <option value=''>Day</option>
                      
						<OPTION VALUE="1">1</OPTION>
					  
						<OPTION VALUE="2">2</OPTION>
					  
						<OPTION VALUE="3">3</OPTION>
					  
						<OPTION VALUE="4">4</OPTION>
					  
						<OPTION VALUE="5">5</OPTION>
					  
						<OPTION VALUE="6">6</OPTION>
					  
						<OPTION VALUE="7">7</OPTION>
					  
						<OPTION VALUE="8">8</OPTION>
					  
						<OPTION VALUE="9">9</OPTION>
					  
						<OPTION VALUE="10">10</OPTION>
					  
						<OPTION VALUE="11">11</OPTION>
					  
						<OPTION VALUE="12">12</OPTION>
					  
						<OPTION VALUE="13">13</OPTION>
					  
						<OPTION VALUE="14">14</OPTION>
					  
						<OPTION VALUE="15">15</OPTION>
					  
						<OPTION VALUE="16">16</OPTION>
					  
						<OPTION VALUE="17">17</OPTION>
					  
						<OPTION VALUE="18">18</OPTION>
					  
						<OPTION VALUE="19">19</OPTION>
					  
						<OPTION VALUE="20">20</OPTION>
					  
						<OPTION VALUE="21">21</OPTION>
					  
						<OPTION VALUE="22">22</OPTION>
					  
						<OPTION VALUE="23">23</OPTION>
					  
						<OPTION VALUE="24">24</OPTION>
					  
						<OPTION VALUE="25">25</OPTION>
					  
						<OPTION VALUE="26">26</OPTION>
					  
						<OPTION VALUE="27">27</OPTION>
					  
						<OPTION VALUE="28">28</OPTION>
					  
						<OPTION VALUE="29">29</OPTION>
					  
						<OPTION VALUE="30">30</OPTION>
					  
						<OPTION VALUE="31">31</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='BackupYear' name='BackupYear'>
                      <option value=''>Year</option>
                      
						<OPTION VALUE="2021">2021</OPTION>
					  
						<OPTION VALUE="2022">2022</OPTION>
					  
						<OPTION VALUE="2023">2023</OPTION>
					  
						<OPTION VALUE="2024">2024</OPTION>
					  
						<OPTION VALUE="2025">2025</OPTION>
					  
						<OPTION VALUE="2026">2026</OPTION>
					  
                    </select>
                  </fieldset>
                </li>
                <li>
                  <label for='Event_Name'>Name of event</label>
                  <input id="Event_Name" maxlength="255" name="Event_Name" size="30" type="text" value="">
                </li>
                <li>
                  <label for='Description'>Please describe the services you are requesting</label>
                  <div class='note'>(type of event, topics to be covered, etc.)</div>
                  <textarea cols='50' id='Description' name='Description' rows='5'></textarea>
                </li>
                <li>
                  <label for='Expected_Visitors'>Expected number of visitors</label>
                  <input id='Expected_Visitors' maxlength='5' name='Expected_Visitors' size='5' type='number' value=''>
                </li>
                <li>
                  <label for='Expected_AgeGroups'>Expected age group of visitors</label>
                  <input id="Expected_AgeGroups" maxlength="255" name="Expected_AgeGroups" size="30" type="text" value="">
                </li>
                <li>
                  <label for='Presented_To'>Name of group the event is for</label>
                  <div class='note'>(no abbreviations please)</div>
                  <input id="Presented_To" maxlength="255" name="Presented_To" size="30" type="text" value="">
                </li>
                <li>
                  <fieldset class='time'>
                    <label>Event start time</label>
                    <input id='StartTimeH' maxlength='2' name='StartTimeH' size='2' type='number' value=''>
                    :
                    <input id='StartTimeM' maxlength='2' name='StartTimeM' size='2' type='number' value=''>
                    <select class='dropkick_menu' id='StartTimeT' name='StartTimeT'>
                      <OPTION VALUE="AM">AM</OPTION>
					  <OPTION VALUE="PM" SELECTED>PM</OPTION>
                      <option value=''>--</option>
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='time'>
                    <label>Event end time</label>
                    <input id='EndTimeH' maxlength='2' name='EndTimeH' size='2' type='number' value=''>
                    :
                    <input id='EndTimeM' maxlength='2' name='EndTimeM' size='2' type='number' value=''>
                    <select class='dropkick_menu' id='EndTimeT' name='EndTimeT'>
                      <OPTION VALUE="AM">AM</OPTION>
					  <OPTION VALUE="PM" SELECTED>PM</OPTION>
                      <option value=''>--</option>
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='length'>
                    <label>Expected length of event</label>
                    <input id='Event_Length' maxlength='10' name='Event_Length' size='10' type='number' value=''>
                    <select class='dropkick_menu' id='Event_Length_Unit' name='Event_Length_Unit'>
						<OPTION VALUE="minutes">minute(s)</OPTION>
						<OPTION VALUE="hours" SELECTED>hour(s)</OPTION>
						<OPTION VALUE="days">day(s)</OPTION>
						<OPTION VALUE="words">words</OPTION>
                    </select>
                  </fieldset>
                </li>
                <li class='gradient_line'></li>
                <h3 class='form_heading'>EVENT LOCATION</h3>
                <li>
                  <label for='Facil_Name'>Facility name</label>
                  <div class='note'>
                    (no abbreviations please)
                  </div>
                  <input id="Facil_Name" maxlength="255" name="Facil_Name" size="50" type="text" value="">
                </li>
                <li>
                  <fieldset class='address'>
                    <ul>
                      <li>
                        <label for='Address1'>Address</label>
                        <input id="Address1" maxlength="50" name="Address1" size="50" type="text" value="">
                      </li>
                      <li>
                        <label for='City'>City</label>
                        <input id="City" maxlength="50" name="City" size="50" type="text" value="">
                      </li>
                      <li>
                        <!-- /used to float left -->
                        <div class='state_container'>
                          <label for='State'>State</label>
                          <select class='dropkick_menu' id='State' name='State'>
                            <option value=''>(select state or territory)</option>
							
								<OPTION VALUE="AL">Alabama</OPTION>
							
								<OPTION VALUE="AK">Alaska</OPTION>
							
								<OPTION VALUE="AZ">Arizona</OPTION>
							
								<OPTION VALUE="AR">Arkansas</OPTION>
							
								<OPTION VALUE="CA">California</OPTION>
							
								<OPTION VALUE="CO">Colorado</OPTION>
							
								<OPTION VALUE="CT">Connecticut</OPTION>
							
								<OPTION VALUE="DE">Delaware</OPTION>
							
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