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Name of Contact Person: _____________________________Company Name(if applicable)_____________________
Address: ______________________________________City_______________________State________Zip_________
Phone: (Home) _________________________(Work)_____________________(E-mail)_________________________
Date of Lind House usage: _____________________________Approximate times of House use___________________
Type of function: __________________________________________________________________________________
Estimated number of persons attending: ____________ Will you require the use of the handicapped elevator?________
Will food be served ? Yes ______No ______Name of Caterer ______________________Will bring our own food______
Will you need our staff to set up large round tables and chairs for a sit-down meal? _____________(additional fee of $20)
Will you need our staff to set tables with table linens, silverware, centerpieces, etc? ____________(additional fee of $35)
If yes, please circle additional items you want: wine glasses water glasses coffee cups salad forks dessert forks
Will you need our staff to take down and put away the large round tables & chairs?_____________(additional fee of $20)
Do you wish to rent the 5 waist-high cocktail tables for an informal reception? ________________(additional fee of $25)
(Staff would also set up a bar area and a small round table which would seat 6 – this arrangement is nice for parties of 40-100 persons)
Will you need wedding services? (ceremony set-up, 2-day wedding package, decorations – see fee schedule)________________
Will you need a staff person to work in the kitchen during your event?___________________________($12.50 per hour)
Included is my check for the entire amount of house usage. Please refer to Fee Schedule sheet.
House Rental _____________ plus refundable$100 damage deposit___________plus set-up/take down fees___________
Plus wedding services fees ___________ plus staff person @ $12.50 per hour. __________. Total Enclosed_____________
The damage deposit will be returned within 30 days of usage.
If damage occurs, staff will contact responsible party and determine charges.
Cancellation Policy: Full refund of deposit if cancelled at least 30 days prior to the scheduled event.
Signature of User: ___________________________________ Date: _______________________
A copy of this contract will be signed by staff and returned to responsible party.
Signature of Executive Director: ____________________________________ Date:_______________________
Be a Guest at your Own Party!
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