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New Jersey's Clean Energy Program
Event Staffing and/or Speaking Engagements
Request Form
In order for New Jersey's Clean Energy Program to review opportunities for event participation, the following information is necessary. The questions that require an answer are marked in red.
*Please note that the program only supports NJ-based events.
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| Name of Event |
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| Contact Person |
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| Email |
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| Phone |
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| Event Location |
| *Please note that the program only supports NJ-based events. |
| Venue Name |
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| Street Address |
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| Address cont. |
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| City |
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| State |
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| ZIP Code |
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| Event Dates / Times |
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Audience Type
*Please select all that apply |
Residential
Commercial
Government |
| Type of Request |
Speaker
Tabling/Exhibit
If a speaking request, is it part of a panel discussion?
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| Commitment Deadline |
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| Is this a reoccurring event? |
If Yes:
How many years:
Previous audience attendence:
If No:
Anticipated audience number for this event:
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| Will you promote this event? |
How?
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| If speaker is requested, what materials will be provided? (ie. stage, podium, table, microphone, etc.) |
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| If applicable, please list elements included in sponsorship: |
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Cost of participation:
(Cannot include any cost for refreshments.) |
$ |
Organizers entity type:
*Please include all that apply |
Association
Business
Chamber of Commerce
Not-for-Profit
Private
Public
School
Trade Organization |
| Other/Additional Details: |
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*Although New Jersey's Clean Energy Program tries to accommodate all event requests, filling out this form does not guarantee participation in any specific event*.
You will be notified regarding our ability to support your event within ten business days.
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Code:
S#GWB5aC Please enter the code shown above: |
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