Event Submission Form

Complete this form to electronically send your event submission form to the Villages of Van Buren. 

 NOTE:  If you mark "YES" below for serving food, please review the documents pertaining to your situation:

Questions should be directed to the Lee County Health Department at 800-458-6672.


Name of Event:
Event Detail:
Will food be served?: 
Cost of Event:
Date(s) of Event:
Time of Event:
Physical Address of Event Location:
Contact Phone Number:
Contact E-Mail:
Event Website:
Your name:
Event Host (Business or Organization):
    Required Field(s)