NCFlex Site Visit Request

NCFlex Site Visit Request

Contact Name*

Contact Phone Number*

Contact Email Address*

Agency/Division/Facility/School Name*

Date(s) of event*

Location Name of Event*

Address of Event*

Type of Event*

If your event is not on this list, enter in the "Type of Event (other)" field below.

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Type of Event (other)

Time frame*

How long will the event last?

Arrival time*

Cost to attend

Number of attendees expected*

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