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Date of Rental ___Town of Winchester 8522 PARK WAY, LARSEN, WI 54947Facility Use Application NAME: ___ COMPANY/ORGANIZATION: ___ NONPROFIT ORGANIZATION: ___ ADDRESS: ___CITY___STATE___ZIP___ PHONE: ___ ALT. PHONE: ___ DATE OF EVENT / FACILITY USE: ___ BRIEF DISCRIPTION OF EVENT / USE: ___ FACILITY: Please check all that apply. Town facilities are available for use 7 a.m. to 11 p.m. ___ Nelson ParkFree___ Art Larsen PavilionPlease See Fee Schedule for rates* $100 Security Deposit required**___
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