Community Room Request
Date of request

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Dates and times that use of the Community Room is desired

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Alternate dates and times

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Full name of group requesting use of Community Room (Please be specific. Include name of parent organization and, if applicable, name of committee, department, team, troop number, etc.) (*)

Please let us know your message.
Check all appropriate categories

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Purpose of meeting

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Name of person responsible (*)

Please let us know your name.
Address of person responsible

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Telephone number

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Email of person responsible (*)

Please let us know your email address.
Type the letters you see (*)
Type the letters you see

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reformer
Home Use | Library Use

Rutland herald
Home Use | Library Use

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