Pequest Natural Resource Education Center
Facility Use Rental Request
The Facility Use Policy must be read prior to using the building and grounds.
ApplicantFullName:
OrganizationName:
Address:City:Zip:
Telephone: EmailofApplicant:
Date(s)Requested:
StartTime(8:30amorlater):EndTime(by4:00pm):
PurposeofMeeting/Function:
EstimatedNumberAttending:  Willyoubeservingfood?YESNO
Audiovisualequipmentrequested (screen,projector):
IhavereadthePequestFacilityUsePolicyandagreetoabidebytherulesandregulationsforuse.

(SignatureofApplicant)(Date)
Pleasesendcompletedformandcheckto:
PequestNRECFacilityUse,605PequestRd.,Oxford,NJ07863.
FOR OFFICIAL USE ONLY
Approved? Yes No
Date Received Date Confirmed Staff Member Approving
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On Calendar Payment Received Email Confirmation Date
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