DOCF Facility Rental Application 2019

Address

Phone Number

Area Code Phone Number
Email
Event Date

Month Day Year
Event Start Time
Type of Event
Event End Time
Are you Having/ Serving Alcohol?

Yes No
Are you Having Catered Food/ Meal?

Yes No
Are you a Non-profit Organization?

Yes No
Form Attached
Is security required/ needed?

Yes No
Security - Minimum of 3 hours @ $35 per hour
Deposit
Amount
Space
PayPal
Check
Do you need an AV?

Yes No
Podium
Deposit Refund Requested On
Less/ Full Reason
Rental Fee
Amount
Date Paid

Month Day Year
Amount
Date Paid

Month Day Year
Amount
Date

Month Day Year
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I understand that false or misleading information in my application or infraction(s) of contract may result in loss of deposit.
Signature
Date

Month Day Year
Should be Empty:

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