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Youcie Program


Ambassador Request Form

Please note - A minimum of 72 hours advance notice is required. University City District will make every effort to comply with your request. However, due to varying schedule demands, we cannot guarantee the presence of an Ambassador at your event.

Contact Information

Organization

Contact Name

Address

 

City / State / Zip

  

Phone

Fax

Email Address

Event Information

Name of Event

Date

Time

Start Time End Time

Event Description

Please print this form and submit to:
Director of Clean and Safe
University City District
3940-42 Chestnut Street
Philadelphia, PA 19104
Fax 215-243-0557