120 SE Williston Road Gainesville, FL 32641 Phone: 352-377-1566 www.springhillmbc.org

NON MEMBER FACILITY REQUEST

Please allow ten (10) business days for completion.
CONTACT INFORMATION
Applicant Name:
E-mail Address:
Mailing Address:
City, State, Zip:
Home Phone Number:
Cell Phone Number:
EVENT INFORMATION
Event Type:

Meeting Banquet Wedding Workshop
Event Date:

Month Day Year
Date
Start Time:
End Time:
Number of Attendees:
Room Requested:

Multipurpose Room - $260/hour - up to 4 hours Kitchen - $85 Classrooms - $85/hr
PAYMENT INFOMRATION
Total Amount Due:
Security Deposi t due upon receipt of signed agreement

Date Received ___________________ By: ______________
Full Room Rental amount due 7 business days prior to Event Date

Date Received: __________________ By: ______________
Security Deposit returned 1 business day after Event Date

Date Returned: __________________ Received By: ________________
Signature: (full name constitutes signature)
Please Note: 1. Fees will be charged according to times needed for access to building, not just event times. 2. Rental of Multipurpose Room for non-banquet activity includes access to the classroom in the immediate area. 3. Security Deposit will be returned the next business day following the event, provided there are no damages to the facility.
Special Comments:
Should be Empty:

NON MEMBER FACILITY REQUEST