Facilities rental request form

Space rental: $175 payable prior to event.

Checks to: Sandy Historical Society, Inc.

Cancellation must be received 5 business days prior to event or fee will be forfeited.

Food: There are no facilities for food preparation. However, equipment available includes tables, chairs, coffee pot, microwave, sink, and refrigerator.

Setup/breakdown is the responsibility of the applicant/user.

Fundraising: If this is a fundraising event, approval must be obtained by Society Board of Directors or their agent.

Your reservation is subject to approval and availability. Once approved the reservation entitles you to access 1 hour prior and 1 hour after your event. Use of building not to exceed 5 hours, including before/after.

Date of event

YYYY

Event start time

Event end time

Type of event

Estimated attendance

Name of organization/family/individual requesting space

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of person responsible for entire event (hereafter referred to as “applicant/user”):

First Name

Last Name

Phone of applicant/user (if different than requester)

(###)

###

####

Email of applicant/user (if different than requester)

Address of applicant/user (if different than requester)