event registration form

Deadline for event submission is ONE MONTH prior to event date.

The Access Fund supports events with membership materials and information, sometimes swag for prizes or raffles, and promotion on our website and E-News. We look to events to help get the word out and gather new members. To include the Access Fund in your event fill out the form below and submit. If you’ve involved the Access Fund in a past event, please describe in the "Notes/Comments/Special Requests" field how we’ve supported you and the general results of the event (new member tallies, $$$ raised for AF, etc).

Host Organization
Organization:
Contact Name:
Shipping Address:
City:
State:	- - - AK AL AR AS AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY PR AB BC MB NB NL NT NS NU ON PE QC SK YT
Zip:
Phone:
Fax:
Email:
Web:

Organization is:
AF Community Partner	AF Corporate Partner
Affiliated Local Climbing Organization	Other

Event Information
Name of Event:
Date(s)/Time:
Location/Area:
Expected No. of Participants:
Event URL:

Event is in/on:
Public Land	Private Land (with permission)	Gym
Retail Store	Other:

Type of Event (check all that apply):
AF Membership Drive
Clean-up/Trail Building Project (non Adopt-a-Crag)
Competition
Slideshow/Movie
Festival
Other:
Notes/Comments/Special Requests:

The Access Fund · P.O. Box 17010 · Boulder, Colorado 80308 · 303.545.6772 · 303.545.6774 (Fax)
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