Preservation,
Heritage,
Authenticity
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SPECIAL EVENT VENUE FORM
EVENT: ________________________________________________
CONTACT PERSON: ________________________________________________ PHONE: _____________________
EMAIL: _______________________________________________________________________
CONTACT MAILING ADDRESS: _________________________________________________
EVENT DATE:__________________
EVENT
TIME PERIOD: ________ to ________
EVENT SET UP/TEAR DOWN
TIME PERIOD: ________ to ________
APPROXIMATE NUMBER:_________
TABLE AND CHAIRS NEEDED:_ ___________
IS FOOD BEING SERVED? ________
Catering Service information ______________________________________________
SPECIAL ARRANGEMENTS: _________________________________________________________
__________________________________________________________________________________
ADVANCE COMMITMENT (2 WEEKS)
Total Donation/Fee For the usage of the Museum facility is $50.00 up to 25 guests, beyond 25 guests then $2.00/person. (This donation/fee is used to maintain the operations of the Museum). Refundable deposit of $ 100.00
All food and beverages will be served outside, with no alcohol allowed, or smoking.
Understood and agreed upon by:
_______________________________________ __________________
Signature of Contact Person Date
Accepted and agreed upon by:
_______________________________________ _________________
Museum Coordinator Date
(All special functions at the Museum include admission to the Museum, with your choice of a special tour and/or presentation.)