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Rental Agreement


Contact Information
* denotes Required Field
*Business / Group Name:
*Contact Person:
*Address:

*City:
*State:
*Zip Code:
*Primary Phone:
Secondary Phone:
*Email Address:
Fax Number:
*Purpose of Rental:
*Number of persons expected:
Is it okay to put your contact info in our directory / online?
If Yes, please list info to publish:
i.e. phone, email, URL, class info, etc.
 
Equipment Requested
Complimentary Services
Check All That Apply
# Tables (pending availability)
# Chairs (pending availability)
Paid Services
Check All That Apply
Conditions of Service
Check All That Apply

 
Today's
Date
Class /
Meeting Name
Instructor /
Contact
Day(s) Time(s) Start Date -
End Date
 1/1/2011 Beginning Salsa John Smith

9a - 3p 1/15/2011 -
3/1/2011
 4/20/2014

   
 
 4/20/2014

   
 
Click Here to Add Additional Classes
  
How did you hear about us?
Additional Information
Notice: The UHCCA reserves the right to cancel rentals on a thirty (30) day notice. See policies for details.
  
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You MUST Read the Rental Policies and Room Policy Addendum to submit.
  
I have read, understood, and agree to the Rental Policies and the Room Policy Addendum linked above.
Signature
Date Signed