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Application for use Thelma Zimmer/William Van Dorn Youth and Community Center 18 Center Street Ardsley NY 10502 914-693-8012 Name of Applicant Telephone No. Address Purpose of Gathering Date/Time of Use Day of Week Month Date Year Time Description of Program Refreshments Anticipated Number Tables/Chairs Rental Fees and Policies All Parties are to be over no later than 11 pm. Please make all checks payable to Village of Ardsley. PLEASE MAIL FORM AND PAYMENT TO Village of Ardsley 507 Ashford...

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