Lower Annex Request Form

Lower Annex Request Form

Bossier Arts Council
Event Information: (please include set up and clean up time)
Date/time of Event

DayMonthYear

Hour MinutesAM/PM Option
Event Type:

Other
Building Usage & Administrative Fee: $45 per hour

NOTE: A 50% (non-refundable) deposit is required when booking dates. Remaining balance must be made 1 week PRIOR to the event date.
Total hours
Please enter the number of hours
Total Amount Owed
Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
E mail address

Confirmation Emailexample@example.com
Preferred Method of Contact
Indicate Phone, Email, or Postal Mail
Please acknowledge the following:
Signature of Renter

Annex Rental Deposit

Non-refundable Fee

$50.00

Total