GNS Community Room Application

Please read the Policies and Eligibility and Application Process information on this website before completing the online application below. Once your application is reviewed, GNS Public Relations & Fundraising Manager Nichole Smith will contact you to confirm your eligibility, review the facility availability, and discuss any fees that may apply. If you do not hear from us within 3 days after completion of your application please call (530) 938-4115 extension 115.

Organization*
Contact Name*
First Last
Title
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Preferred Method of Contact*
Website
Classification of your organization*
Other, please describe
501(c)(3) Tax ID Number
What is the purpose of your event?*
Other, please describe
Approximate number of participants*
Need access to:
- Kitchenette
- Audio-visual
Will you need access to:
- Kitchenette
- Audiovisual
Reservation Date – First Choice*
Reservation Date – Second Choice*
Meeting Start Time*

: HH

MM
Meeting End Time*

: HH

MM
I have read the "Meeting Planner, Policies and Facility Capabilities" as well as the "Eligibility and Application Process" documents.*
- YES
- NO
I agree to the statement below.*
- Yes
- No
I hold Great Northern Services harmless from any liability for loss, damage or injury associated with this event. I agree to indemnify Great Northern Services for any claims made for loss, damage or injury associated with this event.
Privacy Disclosure*
- I consent to having this website store my submitted information so they can respond to my request.

Location and Mailing Address

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