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2. First Name*
3. Last Name*
5. Address
6. City
7. State
9. Zip Code
10. Phone Number*
12. Email Address
14. What date are you requesting?*
    What date are you requesting? Start Date

    —

    What date are you requesting? End Date
16. Which room are you requesting?*

    Select all that apply

    1. Main Facility

    1. Main Facility and Kitchen
17. Event Type*

    Select all that apply

    1. Wedding
    2. Convention
    3. Workshop
    4. Reunion
    5. Public Event
    6. Banquet
    7. Other
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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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