CANP Chapter Event Form Please complete the following survey for your chapter event to be added to canpweb.org. Question Title * 1. Submitters Information: Name Email Question Title * 2. Chapter Name Question Title * 3. Event Title Question Title * 4. Please provide a description of the event. Question Title * 5. Is the event in-person or virtual? In-Person Virtual Question Title * 6. If the event is in-person, please provide the location. Location/Venue Address Address 2 City/Town State/Province ZIP/Postal Code Question Title * 7. Please provide the begin date and time for your event. Date / Time Date Time AM/PM - AM PM Question Title * 8. Please provide an end date and time for your event. Date / Time Date Time AM/PM - AM PM Question Title * 9. Please provide a point of contact for event related questions or inquiries. Name Email Address Phone Number Question Title * 10. Does this event allow cancellations? If so, please provide a cancellation deadline. Question Title * 11. If there is a maximum number of allowed attendees, please note below. Question Title * 12. Please note if there is a registration deadline for the event. Question Title * 13. Is this a member only event? Yes No Question Title * 14. Event Pricing: Please include pricing (if applicable) for the following categories: Member Non-Member Student Member Board Member Other Other Question Title * 15. If there is any additional information to provide, please list below. Please allow 3 business days to process your event request. If there are any follow-up questions, we will reach out to the contact provided. Once your event has been created and is live on canpweb.org, you will receive a confirmation email. For questions or event alterations, please contact admin@canpweb.org. If you would like to request continuing education credits for your event, please send the completed CE request form and necessary attachments to admin@canpweb.org. Done