Impact Alamance Conference Center Inquiry Form

*We require all reservation groups to review and agree to the Conditions of Use Form. By submitting your signature in the completion of the inquiry form, you are confirming you agree to the conditions of using the center.

Inquiry Form

By submitting this form, you confirm that you are either a non-profit or government agency.

I confirm this requirement

Name

Phone Number

Organization

Is your event a public meeting (a governing convening at which a quorum is present for the purpose of deliberating toward or rendering a decision on a public policy?)

What is your connection to Impact Alamance?

Start Date

Start Time

End Date

End Time

NO RESERVATIONS ON SATURDAY/SUNDAY

Please describe the purpose of your event:

Please confirm that you are authorized to represent your organization and to make financial decisions on its behalf with regard to this event.

By submitting your signature below, you are acknowledging that you have authority and have read, understood and agree to our Conditions of Use form. Please type your signature in the box below to authorize you agree to the conditions for using the center

Room Preference

Expected Number of Attendees

Will you be catering in food?

Will you be charging an admission fee? (For example, a registration fee or tickets must be purchased to attend.)

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