Town of Poland Maine - Public Building Facility Request Form

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:

	Poland Community School Gymnasium
	Poland Town Hall Upstairs
	Poland Town Hall Downstairs

Please provide the following information:

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?

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.