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

"*" indicates required fields

Name*

Phone Number*

Organization*

Email*

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*

NO RESERVATIONS ON SATURDAY/SUNDAY

Start Time*

End Date*

NO RESERVATIONS ON SATURDAY/SUNDAY

End Time*

Please describe the purpose of your event:*

Please confirm that you are authorized to represent your organization and to make financial decisions on it's behalf with regard to this 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*

Capacity regulations are subject to change.

Expected Number of Attendees*

Please enter a number from 1 to 130.

Will you be catering in food?*

Will you need to reserve our Lactation & Wellness Room during your meeting?*

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

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