EXTERNAL FACILITIES USE REQUESTReminder: Certificate of Insurance, $50 Security Deposit, Team Roster (if applicable) and Proof of Non-Profit Status (if applicable) must be submitted with application and received at least 10 working days prior to your event. May be sent via fax (856-223-8649), email (firstname.lastname@example.org), and checks should be mailed to Debbie Brown at (625 Breakneck Rd., Mullica Hill, NJ 08062).
Application will not be processed until all necessary information is received.You will be contacted regarding availability and fees following receipt of required information.
Name of Organizaion:
Contact E-Mail Address:
Contact Phone Number:
Actual Event Time:
Number of Participants:
Other Needs (i.e. tables, special set-up, a.v. equipment: