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| Organization/Agency |
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Paynesville Fire Relief Association/Paynesville Chamber of Commerce |
| Phone number |
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| Email address |
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| Address of event |
|
1500 Airport Rd, Paynesville MN 56362 |
| Name of event |
|
Backdraft Bash |
| Location of event |
|
1500 Airport Rd, Paynesville MN 56362 |
| Purpose of the stage at your event |
|
Need stage for band for our concert |
| Contact for during event (first and last name) |
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| Phone number for contact during event |
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| Date(s) requested |
|
8/21/25-8/24/25 |
| Pick up date and time |
|
8/21/25 |
| Return date and time |
|
8/24/25 |
| We, the users of the Spicer Commercial Club stage/showmobile, understand that we assume full responsibility for any damage, theft, or loss to the stage unit and its accessories between the time we pick up the portable stage at the Spicer City Works yard and the time we return the stage to the same location. |
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Yes |
| Electronic Signature (simply type your name) |
|
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| Date (month, day, year) |
|
5/13/25 |
