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Get Event Request Form-state Facilities.docx - Doa Louisiana

Ts Options 1 2 Date Preferred Date(s) of the Event Starting Time Ending Time Requestor Information Name of Organization Mailing Address Contact Person 1/ Job Title Tel No. / Cell No. / Fax No. Contact Person 2/ Job Title Tel No. / Cell No. / Fax No. Email Address(es) T C T 1 C F 2 For Profit For Partial Non-Profit, indicate percentage of profit to be retained by requestor % of Profit Event Type Non-Profit F Partial Profit Event Request Description Description Tables Chairs Dis.

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