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 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*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Reservation Date – Second Choice*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Meeting 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 LinkedIn (Opens in new window)
