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. Cultural Institution:

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* 2. Closure date:

Date

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* 3. Address:

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* 4. Are you offering ticket refunds or exchanges?

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* 5. Link for more information:

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* 6. Additional information you would like to include:

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* 7. You name (for internal use only):

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* 8. You email address (for internal use only):

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