Clone of Personal Hardship Application

Date Requesting Use of Office (if you need it for longer than one hour - please choose the starting hour and put a note in the next box)
Is this a recurring event?
If you need the office for longer than 1 hour - put times down here. If you need more than one date, put other dates here? (this can be specific dates or "Every third Monday of the Month"

By signing this form I understand that I will be issued an entry code that is not to be shared. I understand that I must clean up after my group and leave the office clean and tidy (this includes - taking out the garbage, sweeping/vacuuming and wiping down tables. I understand that if it is not done my group will be charged a $75 cleaning fee and we could loose our privilege of using the Chamber Office.
Once your form is submitted we will check the availablity of the office for you and send an email. An invoice for the deposit will also be sent, door codes will not be issued until the deposit payment is made.
Signature
Should be Empty:

Request to Use Hobart Chamber Office