November 27, 2022 Joe Schuerch Ballroom Rental Form Ballroom Rental Form Program Host's Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Email(Required) Contact Phone#(Required)Please give the phone number of where we can best reach you.Is this program hosted by a business or other non-profit group?(Required) Yes No Business NameIf this program/event is hosted by a business or other non-profit group, please provide the name of it here Name of Program (Optional) What kind of program/event would this be?(Required) Theatrical Performance Concert Presentation Gallery Interactive Activity Other Please describe your program in more detail(Required)If necessary, please list any equipment of ours you might need. Chairs (up to 120) Round Tables (up to 20) Stage Podium Projector w/ Screen P.A. System How many people (guests, organizers, etc.) are expected to attend?(Required)If currently unsure, give a rough estimate. Ballroom is limited to 120.Please enter a number from 1 to 120.Date(s) of program(Required)Please provide a list of potential dates (or set of dates for multi-day events) and times that you wish to hold your program/event. We strongly encourage you to list possible alternative dates in case of conflicting schedules. Add Remove Δ
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