Lodge #286 / Chapter #155

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Home » Moose Media Form

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?

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Kenosha Moose Lodge #286

3003 30th Ave,
Kenosha, WI 53144

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(262) 657-7831

info@kenoshamoose286.com