In order for Broward Cultural Division to be better informed to your needs and restrictions from the COVID-19 closures, please answer all applicable questions below:

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* 1. Organization / Presenter:

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* 2. Event name:

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* 3. Original event start date:

Date
Time

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* 4. Original event end date:

Date
Time

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* 5. Has the event been rescheduled?

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* 6. Original event location(s):

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* 7. Is there a new or updated event location:

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* 8. Are you offering ticket refunds or exchanges? 

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* 9. Link for more information:

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* 10. Additional event details or information you wish to include:

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* 11. Your name (for internal use only):

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* 12. Your email address (for internal use only):

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