Name:
Email:
Business of Nonprofit Name:
Daytime Telephone Number:
Which room would you like to reserve? Conference Room #103Conference Room #104Computer Lab #203 (nonprofits only)
What date would you like to reserve the room?
What time would you like to start the reservation?
What time would you like to end the reservation?
How would you like to pay? Request e-invoice to pay online with cardPay in person at MSSCA (cash or check)Free use ONLY for nonprofits
How will you be using the room?
IRS determination letter - PDF file only (nonprofits only)
By selecting this checkbox, I have read, and agree to, the Rental Rates and the terms of the Rental Agreement, for renting a conference room at MSSCA.
Yes, I actually read those documents from the Terms and Conditions. I also understand that Saturday or Sunday rental availablity is by special arrangement and pricing with advance notice. And that I must call 907-352-1200 to request instead of using this form.
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