Form Center

2. Howard Miller Community Center Room Request Form
4. Name*
5. Email Address*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
17. Reservation Info
19. Reservation Type*

    1. Baby Shower
    2. Birthday Party
    3. Graduation Party
    4. Holiday Party
    5. Family Event
    6. Commercial Event
    7. Public Event
    8. Wedding
    9. Other
20. Attendees*

    1. 0-5
    2. 6-10
    3. 11-20
    4. 21-50
    5. 51-100
    6. 101-200
22. Room Choice*

    1. Banquet Room
    2. Board Room
    3. East Activity Room
    4. West Activity Room
    5. North Activity Room
24. First Date Choice*
    First Date Choice
25. Second Date Choice
    Second Date Choice
26. Time*

    1. Before noon
    2. 12-5pm
    3. 5pm-10pm
28. Anything else we should know about your event?
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field