Type of Rental:    Private Rental - $300.00 Public Event / Not for Profit Use - $750.00 Other

Last Name:               First Name:    

Organization (if Applicable):     

Address:     

Phone:    

E-mail:    

Date of Event:               Hours of Use:    

Estimated number of Participants:    

Please check all that apply:

Alcohol Served:    

Liability Insurance Premium to be Purchased (add $145.00):    

Setup Required ($225):    

Please describe your event:

 
Fees shall be paid as follows:

Deposit due upon execution of the service agreement $250.00 (Includes event deposit $100 and security deposit $150)

Balance due is payable five days before the event - Please Note: A Security Deposit shall be paid upon execution of this
Agreement and shall be refunded after the event provided the hall is left in acceptable condition