Impact Program Request Equipment
Request to use equipment from Perry County Impact Program for your next event or cleansweep.
Equipment is available to reserve year-round by event/festival committees and/or organizations.
Any community group including but not limited to 501c3’s, churches, schools, sports, ect. may make reservations to utilize the program equipment.
Email *
What day is your event?
MM
/
DD
/
YYYY
What time does your event start?
Time
:
What time does your event end?
Time
:
Where does your event take place? (Name of event/festival and/or address.)
Will you be hosting a booth or cleansweep? If other, please explain.
Clear selection
How many people will be participating? 
Which items would you like to reserve? (Select all that apply) *
Required
Who is your contact person? First and Last Name.
If you are with a group/organization, please indicate the name below.
Please provide a good email address for communication. 
Please provide a good phone number for communication.
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