CASBA Award Event Information Survey

CASBA Award Event Information Survey
CASBA Name (ISD/RESD/RESA/ESA):*
CASBA Contact*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Award Details
Date and Time of Event

MonthDayYear
Date
Hour MinutesAM/PM Option
Location of Event

Location Name

Street Address

CityState / Province

Postal / Zip Code
Agenda (please include times)
Staff members are happy to present at your ceremony. Descriptions for presentations can be found online.
Would you like an MASB staff member to provide a complimentary one-hour educational presentation at the event?*

YesNo
Please select which presentation you would liked
Do you want to request an MASB staff member to distribute the awards at the event?*

YesNo
If you would like to schedule a complimentary one-hour educational presentation, please contact Amy Rucker at arucker@masb.org (opens in new tab) or 517.816.4527.
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