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ASU MIX CENTER |TOM AND RUTH NESBITT COMMUNITY ROOM REQUEST APPLICATION
The purpose of the ASU MIX Center Community Room is to empower the community’s use of the MIX Center’s assets. The Community Room is available for public use by request, with priority given to those who reside in the surrounding neighborhoods and to organizations, projects and activities that don’t have physical space to meet and are otherwise under-resourced. A committee of the  Mix Center Community Advisory Board provides support  to and regularly reviews requests for facility access and resources in keeping with our Board Mission Statement.
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NAME (Main Contact): *
PHONE NUMBER: *
EMAIL: *
ORGANIZATION (if applicable): 
NAME OF EVENT *
EVENT DATE: *
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EVENT START TIME: *
Time
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EVENT END TIME: *
Time
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PRE-EVENT SET UP TIME:
Time
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POST EVENT CLEAN UP TIME:
Time
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EXPECTED ATTENDENCE:  *
IS THIS EVENT OPEN TO THE PUBLIC? *
The room has wi-fi, tables on wheels and chairs. Please select additional technology needed:  
 *
Required
I acknowledge that I will ensure the room is returned to the original table set up I found it in and nothing will be left in the room beyond trash in the trash cans. *
SPECIAL REQUESTS/ NEEDS/ QUESTIONS (optional):
Fee Structure for Room Use is as Follows 
REQUEST FOR FEE REDUCTION:
Please note that fees collected for room use are used for community programming. Priority for waivers is given to those who reside in the surrounding neighborhoods and to organizations, projects and activities that don’t have physical space to meet and are otherwise under-resourced. 
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