Rental Request - GDAC Conference Room
Please answer all of the applicable questions on this form. Your answers will be used to prepare your Rental Agreement, and to schedule the necessary facilities. Mandatory information, for form submission, is indicated by a red asterisk.

Please read the Opera House Rental Checklist before you complete this form.

Rental questions may be directed to: rental@derryartscouncil.org

Tech questions may be directed to: tech@derryartscouncil.org

Please be sure to complete all sections of this form to complete your request. If you have any questions while completing this form please email rental@derryartscouncil.org.
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Organization Contact Information
Organization Name *
Is your Organization a 501(c)(3) non-profit *
Organization Address *
Organization Email *
Organization Phone *
Organization Website *
Contact Person (First Name) *
Contact Person (Last Name) *
Contact Person Email *
Contact Daytime Phone *
Contact Evening Phone *
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