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2. Name of Organizations
4. Contact Name
5. Phone Number
7. Email Address
9. Room Required*
   -- Select One --Elm Room - up to 35 peopleCouncil Chambers up to 75 people

   Please indicate which room you are requesting. All other room requests, please follow this link: https://www.broadview-heights.org/438/FacilitiesRoom-Rentals

11. Reason for room request
13. Dates & Times needed
    Provide a few dates and times to ensure availability
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

* indicates a required field