Room Rental Application Prince Albert Multicultural Council Page 2

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1410C Central Avenue, Prince Albert, Saskatchewan S6V 4W5
Telephone: (306) 922-0400
Email:
ROOM RENTAL APPLICATION FORM
Date:
Staff Initials:
Organization Typ
e:
Conference Room
Lounge Area/ Kitchen
Not-for-Profit
Commercial:
Date(s) and Time(s) of Rental:
Start
End
Payment Date:
Date(s)
Time(s)
Date(s)
Time(s)
Cheque
Cash
Staff Initials:
Please complete all information requested below. PRINT clearly
Name of Organization
:
Contact Name:
This person is considered to be the Renter and the Authorized Officer. This person must be on the Prince
Albert Multicultural Council premises during the meeting/event.
Phone:
Email:
Alternate Contact:
Phone:
Email:
Room
Half Day Price
Daily Price
Conference Room
$50.00
$90.00
Total:$
Lounge Area/Kitchen
$50.00
$90.00
Deposit: $
Two Rooms Combination
$90.00
$150.00
Balance: $
Notes:
Mailing Address:
Estimated Number of Attendees:
Cancelled
48 hrs cancellation notice
Yes
No
and returned to original configuration?
Yes
No
Room vacated on time
If not, provide details:
Fee:
Staff Initial:
Date of cancellation:
Staff Initials:
Name of person cancelling:
Reason for cancellation:

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