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Welcome Bag Request

1.Group Name(Required.)
2.Group Type(Required.)
3.Location of Event(Required.)
4.Event Dates(Required.)
Event Start
Event End
5.Contact Person at Event(Required.)
6.Contact Information(Required.)
7.Number of Bags Needed (Number of Attendees)
*Minimum of 10 Bags(Required.)
8.Pick Up or Deliver (Please Choose One. Pickup and Delivery Monday-Friday Only)(Required.)
Pick Up Date (Pickup at Deadwood Welcome Center)
or Deliver Date
9.Deliver to
(Deliveries will only be made in Deadwood City Limits, Welcome Bags will Not be Mailed)
10.Would you like a referral for
11.Requested By(Required.)
12.Additional Requests