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Nebraska Extension/Adams County 4-H - Facility Use Form

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Items Requested for Event

Tables
Number of tables needed and type of tables.
Chairs
Number of chairs needed for your event.
Stages
Number of stages needed for your event.
Microphone
Are you needing a microphone for your event?
Setup and Teardown
Are you needing the ACAS staff to setup/teardown?




Date
Date Requested
Room Request
Which room are you requesting?











Marquee Information
What would you like the marquee to say?

Contact Information

First Name
Last Name
Email Address

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Password
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