Barker Tavern Event Information Request
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 Mildi, Inc. D/B/A The Barker Tavern
The Jordan Family
 Please Note:  required fields are in bold.

Type of Event: Year of event:
Month:   Day:  
First Name: Last Name:
Address: Address2::  
City: State:
Postal Code: Country::  
Day Phone:   Evening Phone:  
Fax Number:   email:
Where did you hear about our Facilities:  

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