2007-12-04_PR Comm Packet - Laserfiche WebLink

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Name of Contact: Name of Organization/vent: t ailina Address: Day Phone: Evening phone: .,.�.� Facility Requested: Date Requested t IDN): 0 Mon 0 Tues 0 filed 0 Thur 0 Fri 0 Sat 0 Sun Time Slot Requested: 0 0 am - 3 pm 0 4 pm - 10 pm 0 0 arra - 10 €gym Special Considerations: 0 play kit 0 3.2 % beer permit 0 rnusicientertainment 0 outside venders 0 other special needs 0 staff person at Amphitheatre @ $20/hr ($40 non-refundable minimum) FORM OF PAYMENT 0 cash 0 check 0 Visa 0 MasterCard 0 American Express Credit Card # Expiration Hate _f Name as it appears on the card: Amount Paid $ Acknowledgement of Facility Agreement: Refund Policy: All requests for refunds, due to cancellation are subject to a cancellation fee_ A refund, less $10 administration fee will be issued for cancellations made 46 days or more, less $25 (1/2 day) $35(full day) for cancellations made 11-45 days prior to reservation date. No refund given for cancellations 10 or fewer days before scheduled reservation. No refunds made due to weather — unless weather condition is deemed severe i.e. tornado, straight-line winds. Key Policy: The key should be picked up prior to the reservation. A $25 deposit (Visa, MC or Cash) is due upon key pick-up. Deposit is required for shelters that include kitchen I bathroom facilities. Weekday rental pick-up hours: 8am- 4:30prn; weekend rental pick-up hours: Friday, 8-00arn-112:00 Eldon. Return key Che following business day. if key is not returned within one week of due date, deposit will be forfeited. Please note Key pick-up reminder calls will not be made. Please mark your calendar with the date and time for the key pick-up. Thank you for choosing Roseville Parks and Recreation for your special event. I have received, read and understand the terms of agreement for the use of Roseville's outdoor facilities. Signature of Rental Party Date