Application
for Single Use of Branch 132 Facility
Lower Level Only
RENTER INFORMATION: Please Print
Name: ____________________________________________________
Organization/Group Name: ___________________________________
Address: ____________________________________________________
Town: _____________________ Postal Code: ___- ___
Telephone: (___) ____-______ E-mail: ______________________
EVENT INFORMATION:
Date: _________________ Number of Guests
in attendance: _________
Set-up Time: _______ Event
Start Time: _______ Event End Time: _______
Description of Event: __________________________________________________________________________
Category: ________ (Refer to Rental Fee Structure)
Additional Charges: (Refer to Rental Fee Structure)
Categories A - F |
Is this a Sunday or Holiday event? |
Yes |
No |
If
yes, add $30 |
Categories B & C only |
Is liquor to be consumed? |
Yes |
No |
If yes, add $150 |
Categories B & C only |
Use of Kitchen |
Yes |
No |
If
yes, add $100 |
|
Category _____ |
|
$ _______ |
|
|
Sunday/Holiday Supplement |
(A-F) |
$ _______ |
|
|
Use
of Kitchen Facilities |
(B & C) |
$ _______ |
|
|
Liquor License & Security |
(B & C) |
$ _______ |
|
|
|
TOTAL |
$
_______ |
|
The Total Rental Amount must be submitted at time of application, and a two week notice must be given to
obtain a liquor license.
Receipt No. ________
Signature of Applicant: _________________________ Date: ________
PLEASE NOTE:
· This is an application
for Rental only, and it is not to be considered as an approval for rental. An approved application will be considered a formal rental
agreement. If the application is not approved, the submitted rental fee will be returned in full to the applicant.
· It is recommended that all applications with the appropriate rental fee(s) should be submitted to the Branch Secretary or his/her
designate at least thirty (30) days in advance. The total rental fee includes the basic category fee and additional charges
as per the Rental Fee Structure. Depending on special circumstance, late applications may be considered.
· In the event of cancellation by Branch 132 due to space requirements or unforeseen circumstance, a full refund of the fee will be
issued. Branch 132 will endeavour to inform the Renter as soon as possible of the cancellation.
· All applicants must familiarize themselves with and adhere to the Terms and Conditions of rental as per attached copy.