Event Submission Form | Pinellas County Intergroup Inc.

Your Name *

Your Phone *

Your Email Address *

Add Your Contact Information to Event?

Your contact information will only be added to the website if you answer Yes to this. However, we still need it should we have any questions about your event.

Group Name *

Name of the Event *

This is what will show on the website calendar.

Start Date and Time *

Date

Time

Be sure to put AM or PM on the time.

End Date and Time *

Date

Time

Be sure to put AM or PM on the time.

Name of Venue (where will this be held?) *

This could be where your group meets, a banquet hall, or anywhere else.

Address of Venue *

Address Line 1

Address Line 2

City

State

Zip Code

If the event will be held where your group meets, enter that address.

Name of Event Organizer *

For example, this could be your group name, venue, or individual.

Cost of Event *

Enter 0 for FREE.

Other Event Details *

This field is required so we can show some information about your upcoming event. Please include any other information that you feel is interesting or important for this event, such as food will be served, meeting afterwards, etc.

File Upload

Click or drag a file to this area to upload.

Name

To help alcoholics everywhere.