Facility Reservation Form

Metroplex Organization of Muslims in North Texas

Reg. No. 75-2251188

P.O. Box 142763 Irving, Texas 75014-2763

Voice: +1 (972) 554-0200

http: //www.momin.org

2945 Frankford Rd, Dallas, TX 75287

FACILITY RESERVATION
Metroplex Organization of Muslims in North Texas (MOMIN) is the oldest Shia organization in the Dallas Fort Worth Area. MOMIN was formed in 1988 by a handful of families who realized the need for an Islamic Center back then. Today Alhamdolillah MOMIN caters to the spiritual and social needs of more than 600 families.
Event Date *

MonthDayYear
Date
Are you a MOMIN Member ?*

YesNo
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Requester Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
Please enter a valid phone number.
Email
example@example.com
Is requester the contact person ?*

YesNo
Contact person

First NameLast Name
Contact Person Phone
Please enter a valid phone number.
Email Contact Person
example@example.com

EVENT INFORMATION
Type of event?*
Number of guests ?*
Event type*
Number of speakers invited?*
Speaker 1

First NameLast Name
Speaker 2

First NameLast Name
Speaker 3

First NameLast Name
Speaker 4

First NameLast Name
Any businesses providing service ?*

YesNo
List of businesses
Do you need to use MOMIN Sound System?*

YesNo
RULES AND REGULATIONS FOR EVENT
1. Current MOMIN members in good standing will receive discounted rate on reservation fees only not on additional items
2. Member discount does not apply to any organization All fees must be paid at the time of reservation.
3. Rates do not include expenses related to tablecloths, paper products and decoration.
4. Security deposit of $500.00 is required at the time of reservation.
5. Daily reservation ends at 10:00 PM Security deposit is refundable, provided no damage to the property or equipment is incurred.
6. No lighted candles and no open flames anywhere on the premises.
7. Battery-operated candles may be used.
8. No food is to be left overnight and no leftovers are to be given to MOMIN.
9. No cooking is to be done on premises however kitchen may be used for warming up the food and making tea. Applicant should bring their own supplies and drinks.
10. Events may not exceed past 11pm.
11. Applicant is responsible for informing guests of modest dress code to be held at the center at all times.
12. Applicant is responsible for all personal and/or property damages done to himself or his guests at the event.
13. Islamic Principles: Activities that violate Islamic Principles are strictly prohibited.
14. Fundraising: All fundraising events require pre-approval by the Executive Committee and a valid IRS 501 (C)(3) certificate to be on file.
15. Deposits: All deposits cleared from the bank will be refunded after adjustments for damages and for the additional charges for extra time, space and equipment usage.
16. Liability: The applicant takes full responsibility for the liability of any statements or programs carried out during the event and/or by any group member during the facility usage. Applicant does not speak on behalf of MOMIN. Applicant takes full responsibility for all physical property damages, losses, injuries and accidents.
17. Lawful Activities: All activities must meet all federal, state and local government laws. The applicant will bear total responsibility for any and all consequences including but not limited to immediate eviction from the MOMIN premises for any infraction of such laws by any individual or group.
18. Restricted: The use of MOMIN facilities is restricted to the area rented. If any of the guests or their children use other areas of the facility, additional space rental fees will be charged and the applicant will be responsible for any additional liability.
19. Security: The event organizers are responsible for providing their own security during the events especially to monitor the entrances and hallways and to prevent damage to the property.
20. Decorations: All decorations of any kind are to be put up with blue painters tape only. The applicant is responsible to ensure that all decorations are taken down without any damage to property, furniture and fixtures of any form.
21. Cleaning & Storage: The applicant is responsible for removing all trash and moving it to designated bins located outside the building. All applicants property should be removed from premises at the end of the event. We do not store anything.
Reservation Fees
Signature*

Clear
Total Fees (including a refundable security deposit of $ 500)

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