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 Marketing Assistant Nichole McCown 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 TitleAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Preferred Method of Contact*PhoneEmailWebsite Classification of your organization*501(c)(3)Federal GovernmentState GovernmentCounty GovernmentCity GovernmentOtherOther, please describe501(c)(3) Tax ID NumberWhat is the purpose of your event?*Board MeetingBoard RetreatCommunity BuildingStaff MeetingStaff RetreatStrategic PlanningOtherOther, please describeApproximate number of participants*Need access to: Kitchenette Audio-visual Will you need access to: Kitchenette Audiovisual Reservation Date – First Choice*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Reservation Date – Second Choice*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Meeting Start Time* : HH MM AM PM Meeting End Time* : HH MM AM PM I have read the "Meeting Planner, Policies and Facility Capabilities" as well as the "Eligibility and Application Process" documents.*YESNOI agree to the statement below.*YesNoI 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. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Google+ (Opens in new window)Click to share on LinkedIn (Opens in new window)
