Discovery Museum Rental Request
Requested Date of Event *
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Desired Start Time of Event *
Time
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Desired End Time of Event *
Time
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Anticipated Attendance *
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Name of Organization/Event Coordinator
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Are you a Non-Profit? If Yes, please provide Non-Profit 5013c # *
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Authorized Contact Person *
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Address
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Phone
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Email *
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Name of Event
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List of planned Activities & Equipment
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Additional Comments
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