Lessee:
(name &
address_________________________________________________________,
Reservation Date:
_____________________ Phone:
( ) _____-_______
Facility Closes at Midnight
Space Available
|
Size
|
Rate
|
Rental Charge
|
||
|
|
Gallery |
1,566 s/f |
$250.00 |
$ |
|
|
|
Multipurpose |
2,418 s/f |
$600.00 |
|
|
|
|
Multipurpose w/ Dance Studio |
3,138 s/f |
$750.00 |
$ |
|
|
|
Kitchen |
N/A
|
Included |
|
|
Equipment
|
Available
|
Rate
|
|
||
|
|
Linens |
colors |
$4.00/ea. |
|
|
|
|
Cloth Napkins |
colors |
$ .25/ea. |
|
|
|
|
Skirting |
|
$1.00/ft. |
|
|
|
|
Tables (Round) |
25 |
N/C |
|
|
|
|
Tables (8’ Rectangle) |
15 |
N/C |
|
|
|
|
Chairs |
200 |
N/C |
|
|
|
|
Lectern |
|
N/C |
|
|
|
|
Stage |
12x30 |
$50.00 |
|
|
Technical
Equipment
|
Available |
Rate |
|
||
|
|
Microphone (Wireless) |
|
$20.00 |
|
|
|
|
Projector |
|
$50.00 |
|
|
|
|
Screen |
|
N/C |
|
|
Other
|
|
Rate |
|
||
|
|
Cleaning /Set-up (Lower Level) |
|
$ 75.00 |
|
|
|
|
Cleaning/Set-up (Lower Level & Gallery) |
|
$100.00 |
|
|
|
|
Security (Gallery) |
|
Included |
|
|
Total
Rental Fee
|
|
|
$ |
||
Deposit payment of $100.00
due at time of reservation
Damage and excessive cleaning
deposit of $350.00 payable 30 days prior to event-
check
will be held and may be fully or partial refunded after event |
|
||||
|
Deposit Received |
|
||||
|
Balance Due |
$ |
||||
|
|
|
||||
|
Balance Paid |
|
||||
|
|
|
||||
Damage
and Excessive Cleaning Deposit Received
|
|
||||
Damage
and Excessive Cleaning Deposit Refunded
|
|
||||
Deposit and Rental Fee should
be made payable to
Wells County
Revitalization, Inc. and mailed to or dropped off at Wells County Chamber,
211 W. Water Street, Bluffton, IN 46714.
By signing below, you
acknowledge that you have read, understand and received a copy of the Rental
Rules & Rental Agreement, and agree to the fees and rules stated herein.
Signed:
________________________
Date: ___________________
Lessee