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Facilities Use Form
Plan Your Visit
Address
3940 Five Points Road
Riner, VA 24149
Phone
(540) 998-4848
Email
office@auburnumcva.org
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Name
*
First
Last
Phone Number
*
Phone Name Message
Email
*
Comment or Message
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Name of Applicant
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First
Last
Name of Primary Contact
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First
Last
Are you a member of this church?
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Yes
No
Are you a member of another church?
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Yes
No
Email
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Phone Number
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Purpose of use?
*
member number Name
Estimate number of people attending
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Time and date of event
*
*
By checking this box, the applicant attests that he or she has read and agrees to the guidelines for the use of AUMC facilities.
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Home
About
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Contact
Home
About
Ministries
Contact
(540) 998-4848
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