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Request Event and/or Divan Presence 

Do not use this form to request a Parade

Submitter Info:

Event Info:

Start Date / Time:

Start Time

Social Time

Social

Meal Time

Meal

Meeting  Event Time

Meeting

End Date / Time:

End Time

Alternate Dates:

Ladies Welcome?

Child Friendly?

 Is this a fundraising event?

1) Is this a fundraising event for your group?

2) Does this event involve gaming (raffles, drawings, etc...)

3)  If this is a fund-raiser, is it for your club/unit, or is it for charitable purposes (i.e., Shriners Hospitals for Children)? If it is a CHARITABLE fund-raiser, please be advised that we will need to apply for special permission from headquarters in Tampa.

Chose the best fit option:

Is there a Fee?

Describe the Fees? Single, Couple, Table, Etc... Amounts?

What is included with the fee?

 Are you requesting Potentate / Divan attendance?

What time should the Potentate / Divan Arrive?

Arrial

 Will Potentate and Divan Event Fees be Complimentary?

Guest Dress Code?

Will this event be at Murat?

Have you been in contact with Dir. of Ops. (Office?)

Your content has been submitted

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2022 Murat Logo Lockup

Office: 317-635-2433

iOffice@Muratshriners.com

510 N. New Jersey St.
Indianapolis, IN 46204

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