Meeting Space Reservation Request for Bertrand Innovation Center

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Is your organization any of the following:* This field is required.Check all that apply.
Berrien RESA Program or Department
Partner of Berrien RESA
Non-Profit Group
School Support Group
For Profit Group
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What is the name of your Organization?* This field is required.
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Who is the contact person for the event?* This field is required.
First Name
Last Name
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What is the contact person's email address?* This field is required.
example@example.com
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What is the contact person's phone number?* This field is required.
Please enter a valid phone number.
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What is the title of your event?* This field is required.
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What is the date of your event?* This field is required.
Date
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What time does your event start?* This field is required.
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What time does your event end?* This field is required.
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Please provide a brief summary of your event.* This field is required.
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Ok
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How many people do you anticipate attending?* This field is required.
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I am requesting the following room(s):* This field is required.
Room 114 (30 people)
Both 114 & 116 (60 people)
Room 116 (30 people)
Other
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Do you have any questions, comments, or additional information you'd like to share?
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Ok
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I understand that...* This field is required.Tenant agrees to defend, indemnify and hold harmless the Berrien Regional Education Service Agency, its Board of Education and its employees from any and all liability for loss, injury or damages of whatsoever kind and nature to any person or property in, on, or about the leased premises resulting from, any cause whatsoever related, in any way, to Tenant’s use of the leased premises. The Tenant will provide the Berrien Regional Education Service Agency with a Certificate of Liability Insurance.
YESNO
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