Materials Request

Please complete the below information and you will be contacted shortly. Please allow a minimum two weeks for staffing and/or shipping of materials. If you have any questions, please feel free to contact: Ambassadors Coordinator at ambassador@onelegacy.org or (213) 229-5600.

Event Type Ambassadors to Cities: Tabling Ambassadors to Cities: Speaking Ambassadors to High Schools

Event Name (examples: 'Pan-American 5K and Festival'   'Taft High School Classroom Presentation'   'St. Joseph Hospital Skills Day')

Event Date JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2018 2019 2020 2021 2022 2023 2024 2025

Start Time End Time

City Event Info

Event Location

Address City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip

Audience Size 100-499 500-999 1000+ Audience Primary Language English Spanish Raffle Prize Needed No Yes

Ship To

Full Name Phone Number Email

Address City State Zip

Preferred Delivery Date