CMP Rental Enquiry Form
Which Location?
*
Please Select
Chinmaya Amarnath (Mars, PA)
Chinmaya Sanjeevani (Monroeville, PA)
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Current Bala Vihar Member
*
Please Select
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization
Date Needed
*
-
Month
-
Day
Year
Date
Time Needed
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Auditorium Needed
*
Please Select
Yes
No
Will you be using the Audio/Video System?
*
Please Select
Yes
No
Rehearsal Needed
*
Please Select
Yes
No
Rehearsal Date
-
Month
-
Day
Year
Date
Rehearsal Time
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Total 0.0
Will you be serving food?
*
Please Select
Yes
No
Dining Room Needed
*
Please Select
Yes
No
Kitchen Needed
*
Please Select
Yes
No
Security Guard Needed
Please Select
Yes
No
Type of Occassion
*
Additional Details
Submit
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