Long Beach Grange #667
5715 Sandridge Rd P.O. Box 582 Long Beach, WA 98631
Contact: Ray Millner 360-642-3682
Hall Rental Requested Information
Name:______________________Date:_________
Non-Profit_______ Profit:_______
#of people attending:_______ Kitchen Needed: Yes____ No____
Dates Needed:________________________________________
What type of event is to be held?__________________________
Non-Profit Only:
Is facility needed on a regular basis? Yes_______ No______
What days:_____________ How Often:___________________
Name:______________________________________
Address:___________________________________________
Phones:___________________________________________
