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The PTRC is monitoring COVID-19 and incorporating operational modifications as needed to protect the citizens we serve, our members, our partners, and our staff.  Our office will re-open on Monday, May 18th to staff, however, the office is still closed to visitors without a prior appointment.   Where applicable, meetings will continue to be held via teleconference. Staff will be available via phone and email. More

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PTRWDB Mobile Unit Request Form - Community Based Organizations

Please correct the field(s) marked in red below:

Entity Name
 *
Contact Name
 *
Contact Title
 *
E-mail
 *
Phone
 *
County
Municipality
Event Type
Event Type
Date(s) for Event
 *
Event location - Please provide name and address of where unit is needed.  
 *
Name of contact person at the event.
 *
Cell phone number for the contact person (for the day of the event).
 *
Date/Time of Event start
Date/Time of Event end
Facilities
Are public toilet facilities available?
(Note:  If not, scheduling entity will be responsible for providing portable facilities.)
Are public toilet facilities available? (Note: If not, scheduling entity will be responsible for providing portable facilities.)
Is secured onsite storage available for the PTRWDB Unit?
Is secured onsite storage available for the PTRWDB Unit?
The Mobile Unit staff will set up and break down the Mobile Unit ONLY. Do you have staff stationed in the mobile unit during your event?
The Mobile Unit staff will set up and break down the Mobile Unit ONLY. Do you have staff stationed in the mobile unit during your event?

Typically, if an event is over an hour and a half away and starts early in the morning, our staff will have to stay the night before (coordinator will contact you to let you know if this is the case). The cost of the hotel room will not be covered by PTRC. 

 Please state if you are willing and able to incur the charges of the hotel rooms.

(PTRC can cover the hotel charges upfront and invoice the responsible party after the event, or the responsible party can reserve and pay for the hotel upfront)

Additional Notes:
Billing Office Information
Entity Name
 *
Office Telephone
Payment Method
Payment Method
Billing Address
City/State/Zip
Requisition or Order Number
Request Submitted by:
 *
Yes, I have read the PTRC Rover Policies and Procedures and I understand the fees associated with my group or organization. (Usage and Fees are listed at the top of this page)
 *
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