Moose Media Form Fill out this form if you are interested in submitting an event to the lodge. You must be a member of the lodge. A representative of the lodge will contact you shortly. Contact Name (required): Phone Number (required): Email Address (required): Event Name (required): Event Date (required): (yyyy-mm-dd): Event Time (required): Location: North HallSouth HallEntire Hall SpacePavilionNot Sure Entry Price: Describe the event, who is invited, and any other important information (required): Who are you raising money for? Is this activity for...? LOOMWOTMMoose LegionMooseriders Is the general public invited to attend? YesNo Do you already have an approved dispensation? YesNo Is this a community service event? YesNo Is this through a committee? YesNo Did you submit a proposal to the board? YesNo Has it been approved in a membership meeting? YesNo Do you have a graphic?