THV Facility Rental Payment Form

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

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

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State

Zip Code
Event Date *

Month Day Year
Date
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 Deposit Rental Fees
Enter Payment Amount: *

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USD Rental Amount Due
Notes:
Additional information or instructions
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: