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Building Use Request - Internal
This form is for use by Members and Friends of the UUCRT
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Email
*
Your email
Submitting this form does not guarantee approval. Please watch your email to receive authorization. Thank you!
First and Last Name:
*
Your answer
Home Phone Number:
Your answer
Cell Phone Number:
*
Your answer
Date(s) Requested:
*
MM
/
DD
/
YYYY
Alternate Date(s) Requested: (rain date, snow date, etc)
MM
/
DD
/
YYYY
Start time of Set Up
*
Time
:
AM
PM
Start time of Event
*
Time
:
AM
PM
End time of Event
*
Time
:
AM
PM
Anticipated end time for Cleanup
*
Time
:
AM
PM
Event Title
*
Your answer
Event type
*
Your answer
This event is:
*
Private
Public
Blurb as you would like it to appear in the eblast, social media and in the OoS:
*
Your answer
If tickets are required, what is the cost of a ticket?
*
Your answer
Percentage of proceeds to be donated to UUCRT:
*
10%
15%
20%
50%
All
Other:
Please list any support you may need from members and friends (ie - # of people to set up, clean up, etc)
*
Your answer
If your form does not submit immediately and email you a confirmation, please make sure you have not left any fields blank.
Thank you for your request - we'll get back to you within a few days of approval from the BOT. If you have any questions or concerns, please email Donna at
aa.uucrt@gmail.com
. Thank you.
A copy of your responses will be emailed to the address you provided.
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