Room Rental Application | www.lgbtcleveland.org

blurb here if want one, generally evergreen is best (info that won’t change)

What organization are you affiliated with (if any)?

Name *

First

Last Name

Last

Pronoun(s) (check all that apply)

Email

Phone

Address

City

State/Province

Zip/Postal

Country

Website/URL

Date of Requested Use

Is this event/meeting reoccurring?

Yes

No

How often will it reoccur? How often will it reoccur?

Describe this event or meeting. Please be as specific as possible.

How did you hear about the event?