Event Request Form

Please complete the following form and every effort will be made to promptly post your event or meeting to the IPRA website. Please note, all information is subject to approval by IPRA staff.

If you are planning an educational event, you must complete the Educational Event Request Form. If you would like to offer CEUs in conjunction with this event, please complete and submit the CEU Application Form. Please note, all information is subject to approval by IPRA staff.

Please send any documents (Word or PDF) to .

Event Name:  
Start Date/Time:    (mm/dd/yyyy hh:mm AM/PM)
End Date/Time:    (mm/dd/yyyy hh:mm AM/PM)
Location:  
Street Address and City:  
Contact:  
Contact Phone:    (123-456-7890)
Contact E-Mail:  
Submitter:  
Submitter E-Mail:  
Announcement Text:

  




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