Room Rental Agreement Form - City Of Orchard Lake Village
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1Room Rental Agreement
City of Orchard Lake Village
Date:
________________________________
I do hereby request permission on behalf of _______________________________________________
Name of Organization
to use the Orchard Lake City Council Chambers on
_________________________________________
Date
from _____________________
until
_____________________
Time
Time
For the Purpose of ___________________________________________________________________
By signing this form I accept responsibility for the use of the Council Chambers and agree to reimburse
the City in full for the repair and/or replacement of any damage or damaged items the use may have
caused.
__________________________________________________
Signature
__________________________________________________
Printed Name
__________________________________________________
Title
__________________________________________________
__________________________________________________
__________________________________________________
Address
__________________________________________________
Phone Number
PLEASE NOTE: Misuse of the Chambers – leaving the Chambers in any condition other than that in
which it was found – may lead to denial of any future use.
$50.00
Please submit this form along with a fee of
to:
City of Orchard Lake Village
3955 Orchard lake Road
Orchard Lake, MI 48323
Approved by: ____________________________________ on _______________________________
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Parent category: Business