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Room & Equipment Reservation Request Form

  1. The Franklin Center of Advanced Learning & Enterprise

    50 Claiborne Avenue
    Rocky Mount, VA 24151
    Phone: 540-483-0179 Fax: 540-483-1297
    E-Mail: InfoAtTheFranklinCenter@franklincountyva.gov
    Internet: http://www.thefranklincenter.org

  2. Rental Fees

  3. Weekend Rate for ALL Groups $350.00 plus hourly custodial rate

  4. Catering Table Needed? Local Catering Contacts are available upon request. Snack & Soda vending machines available on site. Please note: Furniture may not be moved and the person who signs this form is responsible for enforcing the rules.

  5. IP Address for Video Conference (if needed)

  6. By typing your name, you are certifying that you have read and agree with the following statement in its entirety and that the information provided on this form is true and accurate.

    I agree that my typed name on this application is the legally-binding equivalent to my hand-written signature. I will not, at any time in the future, repudiate the meaning of this signature or claim that this signature is invalid and/or not legally binding.

  7. Leave This Blank:

  8. This field is not part of the form submission.