Perry World House Reservation Request Form
Please note: Completion of this form does not confirm your room reservation.

A 25% deposit is required to hold a space after an event has been approved. An additional 25% is required two weeks prior to the event. The final balance is due 48 hours before an event.

Today's Date:
Event Organizer Name *
Your answer
Event Organizer Address:
Your answer
Event Organizer Phone Number: *
Your answer
Event Organizer Email: *
Your answer
Would you like to be added to our mailing list?
Event Organizer Affiliation *
Your answer
Organization Type
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