SGI-USA Community Event Report Form –

Zone *

Region *

Event Date *

Event Time *

Event Location (address) *

Title of Event (theme) *

Brief Description of Event *

Comments Including Notable Guests *

SGI-USA Exhibit Shown

Number of Exhibit Viewers

Total Number of Event Participants *

Photos *
Yes No

Name of Person Providing Report *

SGI-USA Position

Phone Number *

Email Address *

Email a copy of this report to your leaders (separate with a ","):

* Required fields