RENTAL REQUEST FORM

Rental Request Form
Applicant Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Type of Event*
Name of Client/Group
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Requested Date*

MonthDayYear
Date
Alternate Date*

MonthDayYear
Date
Alternate Date (2)

MonthDayYear
Date
Set Up Time Requested - Start*

Hour Minutes

AM/PM Option
Set Up Time Requested - End*

Hour Minutes

AM/PM Option
Event Start Time Requested *

Hour Minutes

AM/PM Option
Event End Time Requested *

Hour Minutes

AM/PM Option
Estimated Number of Guests*
Will you be serving alcohol? (Alcohol Permit Fee is an additional $75)*

YesNo