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2. First Name*
3. Last Name*
5. Address*
7. Phone Number*
8. Email Address*
12. Event Title*
14. Event Date & Time
    Event Date & Time

    Event Date & Time
16. Location (Must Be Within the Boundaries of Livonia)*
18. Location Address*
20. Event Description*
22. Include up to three pictures to promote your event. Picture size limited to 2 megabytes and 400 by 400 pixels.
24. Image 1
26. Image 2
28. Image 3
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field