Council Chambers and Town Meeting Spaces Request

2. First Name*

3. Last Name*

5. Phone Number*

6. Email Address*

8. Address*

9. City*

11. Organization Name

12. Non Profit Number

13. Estimated Attendance*

14. Fee for attendees?*

16. Type of Use: *

18. Request*

    Please provide: Date(s) and Time(s).

20. Facility Use Policy

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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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