LIFE CENTER RESERVATIONS
Name of person(s) in charge of Event:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
-
Area Code
Phone Number
Email:
*
example@example.com
Event Details
Type of Event:
*
Number of Guest(s) Expected:
Date of Event:
*
-
Month
-
Day
Year
Date
Time of Event Starts:
*
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:
Hour
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Minutes
AM
PM
AM/PM Option
Time of Event Ends:
*
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:
Hour
00
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Minutes
AM
PM
AM/PM Option
Setup Time:
*
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:
Hour
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Minutes
AM
PM
AM/PM Option
Clean Up Time:
*
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:
Hour
00
10
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Minutes
AM
PM
AM/PM Option
Are You An Apostolic Center Member?
*
Member
Non-Member
Guests Under Age 21:
Yes
No
AC Member Rental Fees
Maintenance Fee- $50.00 (No Exceptions)
Gym Rental Only - $75.00 per hour (minimum 1 hour) (Access to two bathrooms)
Banquet Room-$50.00 per hour (minimum 1 hour)
Additional rooms - $25.00 per hour
Non Members Rental Fees
Maintenance Fee - $150.00 (No Exceptions)
Refundable Security Deposit- $200.00
Gym Rental Only - $100.00 per hour (Access to two bathrooms)
Banquet Room-$50.00 per hour (minimum 1 hour)
Additional rooms - $50.00 per hour
Any Additional Event Details:
Confirmation of the Agreement:
Date of Signature:
/
Month
/
Day
Year
Date
Sign Here With Cursor
*
Submit
Should be Empty: