Impact Alamance Conference Center Inquiry Form

Masks are currently required, but as soon as this protocol is exhausted, we will notify your reservation group. Additionally, capacity regulations are subject to change as social distancing is still enforced. You may reach us either by phone at 336-221-0011 or email at impactalamance@conehealth.com

*We require all reservation groups to review and agree to the Conditions of Use Form. By submitting your signature in the completion of the inquiry form, you are confirming you agree to the conditions of using the center. Conference Center Conditions of Use – Reduced

Inquiry Form

By submitting this form, you confirm that you are either a non-profit or government agency.
I confirm this requirement
Name*
Phone Number*
Organization*
Email*
Is your event a public meeting (a governing convening at which a quorum is present for the purpose of deliberating toward or rendering a decision on a public policy?)*
What is your connection to Impact Alamance?*
Start Date*
MM slash DD slash YYYY

NO RESERVATIONS ON SATURDAY/SUNDAY
Start Time*
End Date*
MM slash DD slash YYYY

NO RESERVATIONS ON SATURDAY/SUNDAY
End Time*
Please describe the purpose of your event:*
Please confirm that you are authorized to represent your organization and to make financial decisions on it's behalf with regard to this event.*
- Please confirm that you are authorized to represent your organization and to make financial decisions on its behalf with regard to this event.
By submitting your signature below, you are acknowledging that you have authority and have read, understood and agree to our Conditions of Use form. Please type your signature in the box below to authorize you agree to the conditions for using the center.*
Room Preference*
Capacity regulations are subject to change as social distancing is still enforced.
Expected Number of Attendees*
Please enter a number from 1 to 100.
Will you be catering in food?*
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