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You are at » Home » Programs » Bubbylonian Encounter » Online Request Form

Bubbylonian Encounter Performance Online Request Form

Complete the form below and click "Send Request Now!" at the bottom to request a performance of Bubbylonian Encounter. There is no cost to you for the performance. All costs are defrayed by the Washtenaw Area Council for Children and our sponsors.

Name of Organization:

Address of Organization:

Your Name

Your Title

Your Email:

Your Phone:

Are you the appropriate contact person for your organization? Yes No

If you answered no, please list the appropriate contact person below.

Name of Contact Person:

Title of Contact Person:

Email of Contact:

Phone of Contact:

Dates and times when you would like to schedule the performance. (Please list as many as possible. Each performance takes about an hour and includes a pre- and post-performance talk.)

Date: Times:

 
  

 

© 2004 Washtenaw Area Council for Children
3075 W. Clark Road, Suite 110, Ypsilanti, MI 48197 | Phone: 734-434 4212 Fax: 734-434 4243 | Email: info@washtenawchildren.org