Bruce Station Hall Rental Agreement

Bruce Station Hall Rental Agreement

109 Station Road Bruce Mines, ON P0R 1C0
Contact Details
Name of person(s) in charge of Event:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:
Email:
example@example.com
Event Details
Type of Event:
Number of Guest(s) Expected:
Date of Event:

MonthDayYear
Date
Time of Event Starts:

Hour Minutes

AM/PM Option
Time of Event Ends:

Hour Minutes

AM/PM Option
Setup Time:

Hour Minutes

AM/PM Option
Wrap Time:

Hour Minutes

AM/PM Option
Request for Waiver of Rental Fee (Special Circumstances):
Registered Non-For Profit BIN# ( Free Rental allowed one time per year/ per registered Non-For Profit)
Funeral Services (Former Ratepayers Only) Name of the Deceased
Algoma Public Health Permit ( If selling food to the public)

YesNo
Special Event Permit*

YesNo
if the event is a licensed LLBO event, the following must be provided to the office prior to the event
Special Occasion Permit Holder No.:
PAL Insurance ( 2,000,000 is requires)
My Products
prevnext( X )
Damage DepositMandatory
$200.00



Meetings/ ClassesTwo Hour Maximum
$30.00



Meetings with Tea/CoffeeUpstairs or Downstairs
$45.00



All Day EventsUpstairs or downstairs with kitchen (no alcohol)
$100.00



Event with Special Occasion PermitSee above for required information.
$130.00



Set Up DayIf the day prior to the event is needed to set up or the day after is needed to take down.
$25.00 Quantity



Chair/ Table set up/take downPer event
$75.00



Dishes/ Clean up after an event
$33.90



Cleaning after an eventSweep/ mop upstairs and downstairs
$33.90



Total

$0.00
Payment Options

You can pay by eTransfer to payments@plummertownship.ca , by credit card at https://payment.optionpay.ca/corporation-of-the-township-of-plummer-additional/payment-auth.php

Or by cheque to:

Township of Plummer Additional

38 Railway Crescent

Bruce Mines, ON P0R 1C0

or with cash at our office
Confirmation of the Agreement:
Date of Signature:

MonthDayYear
Date
Acknowledged, Agreed and Authorized by Renter:*

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Bruce Station Hall Rental Agreement

Contact Details

Event Details

Confirmation of the Agreement: