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MLR Group Rental Request Name: Organization Phone#: Email: Advisor: Phone#: Non-Profit Profit Purpose of Event: Anticipated Attendance: Please provide ages of attendees & # of chaperones if ages are under 18:   Ages # of Adults Requested Day(s)/Date(s): 1st choice 2nd choice Time: Start End Type of Payment: Buzzcard Mastercard Visa Organizational Check   Journal Entry PS# PO# Do you plan on serving food during the event Is this a fundraising event? Do you plan to charge an admission fee? Do you require any special setup? Please note: Payment is due 3 buisness days prior to event. All reservations are subject to a cancellation fee if cancelled less than one week prior to event. Additional fees may be charged for excessive cleaning needs or damage.