Richard Kemp Center Lease Request

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Address:
372 North Winooski Ave
Burlington, VT 05401

The Richard Kemp Center expands programs and services that support Black Vermonters’ wellness, preserve their culture, support their youth and advance racial equity and justice.

Name *

Email *

Request Date? *

YYYY

TIme? *

Time

Phone Number *

Duration of request?

Are you making this request as an community member or an organization? *

Community Member

Organization

Estimated amount of attendees? *

1-10

10-20

20-50

50 or more

What will the space be used for during the requested time? *

I am able to pay the deposit at the time of signing the agreement? *

Yes

Other:

I understand that I will have to pay the final balance upon arrival? *

Yes

I am interested in sponsorship?

Other:

Required

Submit

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