Rental request form
Email address *
Full name *
Best contact phone number: *
EPRA Membership *
Room request *
Date requested *
MM
/
DD
/
YYYY
Start time requested (including set up) *
Time
:
Finish time requested (including clean up) *
Time
:
Number of people *
Brief description of event *
Will alcohol be served *
If this is a public event, can you be listed as a contact on the ERPA website? Please select all info we can post
Additional needs/comments
A copy of your responses will be emailed to the address you provided.
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