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First Congregational Church
of the United Church of Christ
1128 Pine Street, Boulder, Colorado 80302

Application for Building Use

Application Must be completed and returned prior to room rental (application must be updated annually)

Contact Information: Donna Thayer, Office Assistant, donna@firstcong.net

Phone: 303-442-1787 (press 0 for Donna) Fax: 303-541-9736

Group Name
Type of Use
0 /
# People Expected
Date(s)
Time(s)
Frequency(s)
Responsible Person
Mailing Address
0 /
Preferred Phone
Non-Profit Group?
If Yes, provide Federal Tax ID Number

Nonprofits receive a 30% discount upon approval

Fee Charged to Attendees?
If Yes, provide detail
Refreshments Served? (Food in some rooms prohibited)
If Yes, provide detail

FEES for Room Rental, Sound Technician, Cleaning

50% due with reservation; remainder when building key or code is picked up

Room Rent ($)
Cleaning Fee ($)
Sound Technician ($)
Total Due ($)
Check Enclosed ($)
Check Number
Balance ($)
Check Number

On submission, Donna will be in touch regarding the remainder of the application, and fees.

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