REPTILE WORLD SCHEDULING INFORMATION
please complete the form and mail to:

     Reptile World, Inc.
     PO Box 1099
     Bowie, Maryland, 20718

 

Contact Information: Name: ____________________________________
Day Phone: ________________________  ext. ________
Evening Phone: ________________________
E-mail: _______________________________________
Cell Phone _____________________
 
Name of Organization College, or School ___________________________________________
___________________________________________
 
Address: ______________________________________________________
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City _________________________ State ________ Zip _________
 
 

Event Info: The maximum # of audience is relative to the quantity of space you have available...
What facilities are possible for a presentation? (check all that apply)
____ Multi Purpose Room
____ Cafeteria
____ Lecture Hall
____ Gym
____ Theatre
____ Ballroom
____ Student Union
____ Outdoor Space
____ Classroom

Is your interest for one or more presentations?
____ 1
____ 2
____ Other >>> ______ (#)

Do you prefer:
____ Morning
____ Afternoon
____ Evening
____ Weekend

Please indicate the month you are interested in:  ______________
Is your event date(s) already set?   Yes  /  No
If "Yes"  ...what is the date(s)?   ____________________________

 

Anything else I should know about you or your organization ???

 

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