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Town of Poland
1231 Main St., Poland, ME 04274
ph:
(207) 998-4601
fx:
(207) 998-2002
Public Building Facility Request Form
Choose from the following:
Checkboxes
Checkbox Description
Checkboxes
Checkbox Description
Poland Community School Gymnasium
Poland Town Hall Upstairs
Poland Town Hall Downstairs
Please provide the following information:
Field Description
Field Data
Required Field
Name:
required
Email:
required
Address:
required
City:
required
State:
required
Zip:
required
Phone:
required
Alt Phone:
required
Date Requested
required
Time Requested
required
What is the name of the group / organization requesting this space?
Other than the space will you be needing to utilize bathrooms/ stage/ tables etc.?
Has your group used this facility in the past?
Do you hold keys to this facility?
Field Description
Field Data
Thank you for your request. Your request has been submitted for review. We will confirm/ deny this request within 3 business days. Please call 998-4650 if you have any questions or have not received a response by the 4th business day.