Gallery Rental Form Gallery Rental RequestName *First and LastCompany If applicablePhone *Include Area CodeEmail Reservation Date *Reservation Start Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PMReservation End Time *010203040506070809101112HH000510152025303540455055MMAMPMAM/PMHow many chairs do you need? If none, leave blankHow many 6ft tables do you need? If none, leave blank.Additional Amenities Needed This can be changed at any time and is included in the rental rate.Audio/MicFlat ScreenPodiumKitchenetteBy submitting this request you agree to the following upon payment I will adhere to the start and end time of my rental. I understand that I have a one (1) hour set up and break down time before and after my rental start and end time. I will leave the facility in the condition that I received it. I will assume responsibility for lost keys and will pay the $15 replacement fee. I understand that the restrooms are to be locked at the completion of my rental. By submitting this form, I am agreeing to and accepting responsibility for the aforementioned. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
