MPTC ALERT – Due to a power outage, Moraine Park’s West Bend campus will close at 5 p.m. on Thursday, June 16. All classes and activities on the West Bend campus are canceled for the remainder of the day.
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Rent a Room Form
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Rent a Room Form
Contact Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Business Name
(Required)
Business Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Federal Tax ID # (Not Sales Tax Exempt #)
(Required)
Have you rented space at MPTC before?
(Required)
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No
Is your organization a Non-Profit 501c?
(Required)
Yes
No
Campus Location
(Required)
Fond du Lac
Beaver Dam
West Bend
Event/Meeting Title Name
(Required)
Event/Meeting Date
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Reservation Start Time / Reservation End Time
(Required)
Number of Attendees
(Required)
All classrooms are equipped with a computer/projector/doc cam. If you have any additional technologies needs please note them here.
Additional requests or questions, please note them here.
Consent
I understand that this form does not guarantee a reservation.
I understand that an MPTC Representative will be in contact with me about this request and I can follow-up by calling 920-924-3223 if needed.
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Rental Guidelines
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