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  5. BASF - Chevron Partners Activity Questionnaire
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Questions marked with an * are required Exit Survey
 
 
Thank you for being a partner in the Chevron tent at the Bay Area Science Festival! Please complete the following questionnaire regarding your activity. We want to make sure you have everything you need for a successful event. Please contact me directly if you have any questions at: [email protected] or 415-282-4560 X206. THANK YOU!
 
 
Contact Person:
* First Name : 
* Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
* Phone : 
* Email Address : 
 
 
 
* Organization's Name: (This is how it will be listed in all printed material)
   
 
 
 
* Name of Activity:
   
 
 
 
* Full Description of Activity or Display:
   
 
 
 
Age Range for Activity:
   
 
 
 
Estimated length of time to complete activity:
   
 
 
 
Space requirements and setup needs? Please list the amount of space needed for the activity and any furniture/equipment needs (tables, chairs, display boards, audio, visual, etc.)
   
 
 
 
Will you need Electrical Power?
 
NO
 
YES (list electrical needs)
 
 
 
Do you require storage space?
 
NO
 
YES (how much space is needed?)
 
 
 
Will you be handing out any flyers/promotional material/demonstrations/models or other information that will be available at your exhibit? If YES, please list the items. NOTE: no stickers, decals, or adhesives may be distributed.
 
NO
 
YES (list items to be handed out)
 
Questions? Please contact Tim Landherr at [email protected] or 415-282-4560 X206.