AAAA Outreach Request Form

Group or Organization: ______________________

Date and Time with alternate in case of bad weather: ____________________________________________

Location with directions: _______________________

Contact Person: ______________________________

Special Requests, i.e. viewing and/or presentation: ___________________________________________

Club Contact: _______________________________

Club Members willing to Participate: ___________________________________________

___________________________________________

___________________________________________

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Forward request to Outreach Coordinator outreach@amesastronomers.org, and Newsletter Editor newsletter@amesastronomers.org,