Hallock at 100 – 2024 Performance Registration Form

Organization Name(Required)

Organization Contact Name(Required)

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Organzation Contact Email(Required)

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Organization Website(Required)

Event Address(Required)

Street Address Address Line 2 City State ZIP Code

Event Name(Required)

If the event is a church service, type "Church Service".

Event Website or Ticket Link(Required)

Event Date(Required)

Event Time(Required)

Hallock works featured(Required)

List what Hallock works you'll be performing, separated by a vertical bar/line ( | ).

Other event details

Free admission

Admission charge / Suggested donation

Event repeats

Event comments

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