Borth Community Hall Reservations Form
Full Name
*
First Name
Last Name
Phone Number:
*
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Area Code
Phone Number
Mob Number
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Area Code
Phone Number
E-mail
Event or Function:
*
Date and Time of Event Start
*
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Day
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Month
Year
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Hour
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Minutes
AM
PM
AM/PM Option
Date and Time of Event End
*
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Day
-
Month
Year
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Minutes
AM
PM
AM/PM Option
Hours Required
*
Today's Date & Time
*
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Day
-
Month
Year
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12
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Submit
Should be Empty: