2. Name*
4. Organization*
6. Date / Time (Ideally, give 2-4 weeks notice)*
8. Duration (inc. Q&A)?*
10. Phone*
12. Email*
14. Location: address, room # if applicable.*
16. Where should we park?*
18. How many people in audience?*
20. Brief description of your group. If students, grades/ages?*
22. Do we need ID to enter your facility (Yes/No)?*
24. Is audio/visual equipment available (projecttor & screen)?*

    We prefer to use PowerPoint slides, but they're not necessary.

26. Is this a "Touch a Truck" event requiring a large vehicle (Yes/No)?*
28. Topics you want us to cover:

    1. Most common request: CWS Water Cycle (how we operate)
    2. Customer account management / billing
    3. Lead
    4. Fluoride
    5. PFAS
    6. Career Fair (School)
    7. Career Fair (Adults)
30. Any topics of interest not listed above?
32. Additional Comments
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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