Louie the Lightning Bug
Appearance Request Form
* All fields are required.
Contact Information
First Name:
Last Name:
Phone:
E-Mail Address:
Energy Service Provider:
AmerenCIPS
AmerenCILCO
AmerenIP
AmerenUE
Event Information
Name of Event:
Location:
Street Address:
City:
State:
MO
IL
ZIP Code:
Event Date:
Time of Event:
Expected Attendance:
Description of Event:
Environment:
(select all that apply)
Indoors
Bleachers
Outdoors
Auditorium Seating
Available Lighting
Built-in A/V
Appropriate Louie Materials:
(select all that apply)
Louie Character & Ambassador
Coloring Books & Activity Books
10' Cold Air Balloon
Estimated Quantity
Additional Information (not required)
Comments: