Please note all fields with asterisk (*) are required to submit this request.

Contact Person Information

Organization name:

 *

Organization name:

Contact Person:

 *

Contact Person:

First Name

Last Name

Phone number:

 *

Phone number:ext.

Email address:

 *

Email address:

Event Details

Event date:

 *

Event date:

Event hours

 *

Event hours

Start Time	End Time
a.m.	a.m.
p.m.	p.m.

Number of people expected:

 *

Number of people expected:

Additional Information:

Additional Information:

Event Location

Address:

 *

Address:

Upload flyer or registration form (if applicable):

Upload flyer or registration form (if applicable): Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

*Topic (Select all that apply)

*Topic (Select all that apply)

Career Fair

Parade

Health Resource Fair

Salton Sea Restoration and Renewable Energy Initiative

Transmission Expansion Plan

Water Safety

Energy Safety

Public Benefit Programs / Energy Efficiency

Low Income Programs

Copper Theft

On-Farm Efficiency

Renewable Energy / Renewables Portfolio Standard

Legislative Updates

Environmental Programs

Employment Process

Customer Operations

Quantification Settlement Agreement (QSA)

Other Topic If other, type text here.

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2. Email Address

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