House of Manna Facility Rental Form
Non Alcoholic events only. Please answer all questions listed below to be considered for rental.
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Email *
First Name
Last Name
Your Contact Phone Number
Your Email Address
Your Address
City
State
Zip Code
Organization Name
Organization Address
Organization Email Address
Organization Contact Phone Number
City
State
Zip Code
Event Date
MM
/
DD
/
YYYY
Event Type
Start Time
Time
:
End Time
Time
:
Number of Guests
Will Tickets Be Sold?
Clear selection
Will a Food Vendor Be Used?
Clear selection
Please Provide Vendor Name
All vendors need liability insurance and health department certification.
Services Requested?
Check all that apply
Submit
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