RENTAL REQUEST FORM 2.0

TDC RENTAL REQUEST FORM
The information you provide in this application will be used to determine if space is available for rent. Requests should be made no later than 14 days in advance of rental date. Please allow 3-5 business days for a response to your request. Your response will come electronically from the following email: info@dreamcenterharlem.org. Please make a note of it for your inbox.
PART I: THE FORM
1. RENTER; INDIVIDUAL, ORGANIZATION, OR COMPANY
Name*
Event Title*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you a 501(c)3? *

YESNO
If yes, please provide your Tax ID Number:
Contact Person*

First NameLast Name
Contact Number*

Area CodePhone Number
Contact E-mail*
2. REQUESTED DATE(S):
1st Choice*

MonthDayYear
2nd Choice*

MonthDayYear
3rd Choice*

MonthDayYear
3. REQUESTED ROOM(S):
Check all that apply:*

Creative Arts - Blue Room (504 Sq. ft)Creative Arts w Lobby - Blue Room (1,079 Sq. ft)Leadership Development - Purple Room (464 Sq. ft)Leadership Development - Purple Room w/ Lobby (1,039 Sq. ft)Entire Space (1,543 Sq. ft)
4. SCHEDULE
Arrival and Departure Time*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Departure Time*

:HourMinutesAM/PM Option
Event Start and End Time*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Event End Time *

:HourMinutesAM/PM Option
5. EVENT TYPE
Please select one*

MeetingRehearsalSpecial EventWorkshopOther
6. ATTENDEES:
Please indicate the total number of expected participants. *
Do you plan to charge for this event? *

YesNo
Do you plan to sell products?*

YesNo
7. REOCCURING EVENT
Would this be a reoccurring rental?*

YesNo
REQUESTED DATE(S):
1st Reocurring Date

MonthDayYear
2nd Reocurring Date

MonthDayYear
Arrival and Departure Time

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Event Start and End Time

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
How did you hear about The Dream Center?*

Search EngineTDC WebsiteReferred by a Friend/BusinessSocial MediaEmails/NewlettersNeighbor of The Dream CenterOther
Please provide a brief synopsis of the event. *

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PRICING STRUCTURE
- A 25% non-refundable deposit of the room cost will be required upon booking.
- The refundable damage deposit will be $100 per room.
- Any event going past 10pm will incur a $100 surcharge.
- A $25/per hour staffing coverage fee applies to before/after business hours.
- Free 30 min prior to the event for setup and 30 mins to breakdown per room.
HALF DAY (for up to 3-6 hours)

One Room Package: Any one room rental.
General Charge: $500
Non-profit charge: $250

One Room Package w Lobby: Any one room rental with lobby.
General Charge: $700
Non-profit charge: $350

Two Room Package: Two room rentals.
General Charge: $950
Non-profit charge: $475

Entire Space Package: Two rooms with lobby.
General Charge: $1,080
Non-profit charge: $540

One Room Meetings & Rehearsals: Any one room rental. (up to 3 hours/25 people max)
(Light refreshments can be served)
General Charge: $50/hour
Non-profit charge: $50/hour

Two Room Meetings & Rehearsals: Two room rentals. (up to 3 hours/50 people max)
(Light refreshments can be served)
General Charge: $100/hour
Non-profit charge: $100/hour
FULL DAY (for up to 6-9 hours)

One Room Package: Any one room rental.
General Charge: $700
Non-profit charge: $400

One Room Package w Lobby: Any one room rental with lobby.
General Charge: $900
Non-profit charge: $500

Two Room Package: Two room rentals.
General Charge: $1,080
Non-profit charge: $760

Entire Space Package: Two rooms with lobby.
General Charge: $1,440
Non-profit charge: $810
Attach a proposal (optional)

Upload a File

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Fax Number
2. NEEDS OF REQUEST
PART II: THE FACILITIES
This questionnaire helps us better assess your needs so that we can send you an accurate quote. Please answer as completely as possible.
Do you have liability insurance for this event?*

YesNoN/A
Please provide a brief description of your room set up*

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Requested Room(s)*

Creative Arts RoomLeadership Development RoomEconomic Empowerment Room (Currently unavailable)The LobbyWe'd like to rent the entire space
Will you need any of the following for your event? (Check all that apply)

Laptop(s)Table(s)Chair(s)TVSpeakersPodiumMac AdapterVGA AdapterOther
Should be Empty:

TDC RENTAL REQUEST FORM

PART I: THE FORM

PART II: THE FACILITIES