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Date: CITY OF ROANOKE COMMUNITY CENTER RENTAL Informational Name: First Name Residing Address: (No P. O. Boxes Please) City: State: Zip: Organization: Number of People Attending: Home Phone: Day Time
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Start by writing your full name in the designated field.
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Write your street address, including the house number and any apartment or unit number.
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Include the name of your city or town.
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Write the name of your state or province.
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Provide the postal code or ZIP code for your area.
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If applicable, write the name of your country.
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