THV Facility Rental Payment Form

Facility Rental Payment
Rental Client Information
Rental Client's Name*

First NameLast Name
Contact E-mail*
Contact Phone #*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Event Date*

MonthDayYear
Date
Occasion or Type of Event*
Event Type
Submit Payment

Please enter the amount and reason for payment by designating whether this payment is for a security deposit or payment of rental fees.
Payment Type*

Security DepositRental Fees
Enter Payment Amount:*

prevnext( X )
USDRental Amount Due
What is your payment for?:*
By clicking the Checkout with PayPal button, you will be directed to PayPal where you can pay using one of two methods:

PayPal or Credit Card (VISA, MC, or Discover).

Please print a copy of your Paypal receipt for your records.
Should be Empty: