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Ruth W. Towne Museum & Visitors Center Home
Event Name / Description: *
Date of Event:*
Start time of Event: *
Building Opening Time: *
Building Closing Time: *
Anticipated Attendance: *
Sponsoring Department/Group/Organization: *
1st Contact Name: *
1st Contact email: *
1st Contact Phone: *
2nd Contact Name:
2nd Contact email:
2nd Contact phone:
Refreshments: *
Special Considerations/Needs:
Use of Conference Room (maximum 12): *
Museum interpreter needed: *
Other (please explain):
GENERAL GUIDELINES:
* = Required field
OFFICE USE --------------------------
Request Is:
____ Approved
____ Denied
Organizer Contacted:
Staff assigned to open/monitor building:
Do not fill in the following field