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Room Request Form

  1. First Name

  2. Last Name

  3. *Non-Shiloh Group- Is your organization insured?*

  4. Is this a recurring meeting?

  5. Location Requested

  6. Room Selection

  7. Standard Room Setup

  8. Will you be serving food?

  9. Do you need use of the dining hall?

  10. Basic equipment can be supplied for your meeting. Please select the items you may need for the meeting.

    Please select all that apply.

  11. Leave This Blank:

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