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If you would like to request the use of a church facility please send an email to the church office via the form below. You will receive confirmation via e-mail within 48 hours.

Today's Date:
Your Name:
Email address:
JUC Committee Name/Group:
Date of meeting:
Approximate # of Attendees:
Purpose:
Time:
 a.m. p.m. to a.m. p.m
Requested room:
AV Equip. needed:
(1 wk notice)
Child care needed:
(1 wk notice) 		Yes No
Comments and / or additional information:
    
Jefferson Unitarian Church
14350 W. 32nd Avenue ~ Golden, Colorado 80401		 Phone: 303-279-5282
Fax: 303-279-2535

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