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Facility Request Form
This form is used to initiate facility reservations at the Roswell Community Masjid. Please check the availability of facility resources using the RCM Calendar:
http://www.roswellmasjid.org/calendar/
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Requester Information
Date of Request Submission
*
MM
/
DD
/
YYYY
Name of Organization/Group
Group/organization facility is being requested on behalf of (if applicable)
Your answer
Requester Name
*
Your answer
Role at RCM
(if applicable)
Board of Trustees Member
Executive Committee Director
Program Coordinator
UpLift Youth Council Member
Volunteer
Other:
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E-Mail Address
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
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