Global City Department Venue Registration Form

 
Date: Title/Position: 
   
   
Department:  Phone & Extension:
   
Contact:  Cell: Web Site Address: 
   
   
Address:  Park/Campus Entity:
   
City/Town:  Property Address: 
   
State/Province/Prefecture:  Available Acreage: 
   
Email Address:  Utilities Available: 
   
Country:  Month Available: 
   
Permit Required:  City/Town Population:
   
Daily Rental Cost:   30-Day PoC Request: