Ura Seeger Memorial Auditorium Reservation Form

    
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Electronic Signature

Please read and accept the following statement to finish the application.

 

I understand and agree that my application will be signed electronically when I select the check box below. I also understand that my electronic signature means that I have provided MSD of Warren County with accurate information.

 

I declare under penalty of perjury that I have examined all the information on this application and it is true and correct to the best of my knowledge. I understand that anyone who knowingly gives a false or misleading statement may result in denial of the use of Ura Seeger Memorial Auditorium.

If you have not sent your W9 or payment, please do so by mailing the items to M.S.D. of Warren County, 101 North Monroe Street, Williamsport, IN 47993