Event start date *

MM

DD

YYYY

Event end date *

MM

DD

YYYY

Planner name *

First Name

Last Name

Planner phone number *

Phone number of invoice contact

(###)

###

####

Does your event require shipping of at-home COVID tests to attendees? *

YES

NO

Date of your COVID-19 test to be delivered to attendees at their shipping address?

**Please provide the attendee list with shipping details (name, full address & phone) at least 3wks prior to event to amanda@attendsafe.app

MM

DD

YYYY