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1589 11th Street North Wahpeton, ND 58075 701.642.5039 faithfree@rrt.net Requestor: ____________________________ Requested Date: _____________ Purpose of Event: ______________________________________________________ Organization Leader(s) – name & phone: ___________________________________ _____________________________________________________________________ _____________________________________________________________________ Approximate # of Attendees: _______________________ Repeat Meetings: Yes No Building Use Agreed to by _______________________ Date ____________________ Deposit Received: ________________________
For the Administrative Team Approved: ________________________________________ Church Contact Assigned: __________________________________ Building Use Fee Collected: ________________________________
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