Block Party Trailer Application
A $200 (refundable) deposit and $50 (non refundable) fee must accompany this application. You may pay on-line here, or send a church check payable to Tri-County Baptist Association, PO Box 370, Nixa MO 65714.

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CHURCH NAME *
CHURCH PASTOR/PHONE *
EVENT NAME *
EVENT DATE *
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EVENT LEADER/CELL PHONE *
ADDRESS TRAILER WILL BE USED (STREET, CITY) *
REQUESTED PICK-UP DATE/TIME *
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DATE/TIME TRAILER WILL BE RETURNED (NO LATER THAN) *
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PERSON(S) PICKING UP/RETURNING TRAILER AND CELLPHONE *
EMAIL ADDRESS TO CONFIRM RESERVATION *
PASTOR'S APPROVAL: *
Obligatoire
ACKNOWLEDGEMENT: The person filling out this form accepts responsibility for the use, proper pick up and return of the trailer. 
Name of person and cell phone of the person filling out this form:
 *
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