Inquiry of AUCC Event Room

AUCC Inquiry Form
AUCC Venue/Event Space

Please fill out the information below

55 Hillside Ave Teaneck NJ 07666

201-525-AUCC (2822)

www.AUCCnj.org

E-mail: MasjidAlNuha@AUCCnj.org
Event Information
Date of Event Room Reservation*

MonthDayYear
Date
Time Requested*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Total 0.0
Approximately how many adults will be in attendance?*
Approximately how many children will be in attendance?*
Type of Event*
Dinner, Birthday Party, Baby/Wedding Shower, etc.
Congregation Member
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Contact Number*
I attest that the above information is correct.
Signature*

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