FACILITY RENTAL APPLICATION
Date of Event
/
Month
/
Day
Year
Date
Type of Event
Select Facility
Berman Museum
Anniston Museum of Natural History
Longleaf Event Center
Name
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
E mail
example@example.com
Point of Contact (second in charge of event):
Email
example@example.com
Phone
Event Time Frame
Approximate Number Attending
Alcohol
Yes
No
Signature
Date
/
Month
/
Day
Year
Program Manager
Date
-
Month
-
Day
Year
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