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2. Name of Organization*
4. Is your Non-profit Organization registered with GuideStar?

   1. Yes
   2. No
5. If not registered with GuideStar, please provide your Tax ID Number for Non-profit Organizations
7. First Name of Contact Person*
8. Last Name of Contact Person*
9. Phone Number*
11. Emergency Phone Number
12. Email
14. Mailing Address*
16. City*
17. State*
18. Zip*
20. Expected Attendance*
21. Date of Meeting*
    Date of Meeting
22. Time of Meeting Start*
    Time of Meeting Start
23. Time of Meeting End*
    Time of Meeting End
25. Time Access Required For Preparation
    Time Access Required For Preparation
26. Requested Room Setup
    Tables, chairs, and media connectivity are available.
28. Purpose of Meeting or Event
30. Maximum capacity of the meeting room is eighty (80) people. Meeting room fee is fifty (50) dollars or twenty-five (25) dollars for a non-profit group. Admission fees of any kind may not be charged.
Leave This Blank:


32. Submit

* indicates a required field