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    Spiritual Center Facility Application

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    Please complete this form to apply for use of the facilities to conduct your programs and events. You will receive a reply within a week to either confirm or deny your request.

    Any questions about this form or the facility please email - info@spirit-renewal.com or call (631) 608-3827

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    Company Name
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    Contact Name
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    Email Address
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    Phone Number
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    Mailing Address
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    Dates Requested
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    Desired Time
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    Fellowship Hall
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    Church
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    Grange Down
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    Grange Up
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    Number of Participants Expected
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    Please List your Credentials, Certifications/ Training
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    Name and Description of Program to be Offered
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    What Are Your Goals and Objectives?
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    Who Do You Think Will Attend?
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    Have You Done This Program In The Past?
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    Yes
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    No
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    If Yes, Where?
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    Have You Done Any Other Presentations/ Workshops?
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    Yes
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    No
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    If Yes, Please List.
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    Will Your Program Include Presentations and/or Activities?
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    What Tools Will You Use?
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    What is The Participant Fee?
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    What Information Would You Want to be Included in a Flyer Designed to Advertise Your Event?
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    Preferred Contact Method
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    Phone
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    Email
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    Further Information or Questions
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