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Application Form

Name of Nonprofit Organization  
 Street Address  
 City  
 State  
 Zip code  
 Name of contact person  
 Day phone #  
 Fax #  
 Email address  
  Event start date:  

 Event end date:  
 
 Number of attendees  
What type of group?
(check all that apply)

  Youth
  Sport
  Religious
  Educational
  International
  Other
 
Housing needed?   Yes   No
If yes, how many?  
   
Classrooms needed?   Yes   No
   
Food service required?   Yes   No
 
 Brief description of needs
   
 Send me general information  
   
   

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Conference Services: (206) 281-2187