Rec-Connect Submission Form Rec Connect Marketing Form PLEASE COMPLETE THE FORM BELOW TO HAVE YOUR COMMUNITY ACTIVITY, EVENT OR PROGRAM ADVERTISED THROUGH MUNICIPAL MARKETING Organization InformationContact Person* First Last Mailing Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email* Last Rec Connect Meeting Attended* Name of Meeting Attendee* First Last Event Activity DescriptionName of the Event, Activity or Program*Event Description*Event Date* Date of the Event, Activity or ProgramEvent Start Time* : HH MM AM PM Start Time of the Event, Activity or ProgramEvent End Time : HH MM AM PM Advertising Start Date* Date for the Village of Burns Lake to Begin Advertising for the EventTarget Age*YouthAdultsSeniorsHost Organization Advertising Approval of Activities, Events and ProgramsBy checking the box below you are giving approval for the Village of Burns Lake to publish the above information in their various methods of advertising. Also, by checking below you are indicating that the above information for your organizations activities, events or programs is correct and that the Village of Burns Lake will not be responsible for publishing incorrect information included in this form. The Village of Burns Lake holds the right to refuse publishing of any event, activity or program based on incomplete forms, or activities, events or programs viewed as unethical. Organizations that submit this form and attend the REC-Connect meetings will be given first priority for available advertising space.Do you agree with the above terms?*Yes, I agreeNo, I do not agreeForm Submitter Name* First Last Name of the person completing this form and consenting to the terms herein.Form Submitter Email* Enter Email Confirm Email
