EmailMeForm
Request Safety Sam Appearance
Please schedule Safety Sam one month out from time needed. This gives us plenty of time to prepare for your event.
Contact Name
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First
Last
Email
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Contact Phone
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Date and Time of the event
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MM
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DD
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YYYY
HH
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MM
AM
PM
AM/PM
Event Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
How many people are expected to be in attendance?
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Will you be able to provide a handler for Safety Sam during this event?
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Yes
No
A handler is needed. This person will not be asked to speak for Safety Sam but someone that can help guide him around. If no handler is available onsite, Safety Sam's presence at your event will depend on someone from NC811 being available to attend this event with him.
Would you like us to help promote your event on our social media accounts? If so, please give us the name of your facebook page here along with any hashtags you are using for the event.
Additional information
Tell us more about this event.
