Page |1 Date: Facility Rental Agreement CONTACT INFORMATION Organization Name Contact Name Phone Mailing Address Drivers Lisc/ID State # Fax Email Business Type EVENT INFORMATION Rental Dates Time: Room(s) Requested Type of Event Est. Attendance Catering Yes___ No___ Rental Day(s) Start Set Up Adults (over 18) Event Planner Yes___ No___ End Kids (under 18) Decorator Yes___ No___ Projector $10 Microphone $10 Screen $10 2 Tables and 4 Chairs $10 (Lobby area) Easels (must supply chart/paper $10 Security ………………….$13 per hour Mtg. Facilitator (price varies) Chuck’s Haven Banquet Hall 14844 Chicago Road, Dolton, IL 60419 708-849-2100 –[email protected] Page |2 ADDITIONAL INFORMATION Will admission be charged? Will merchandise be sold? Will banners or items be displayed? Additional Services Needed Other Information Room Diagram/Table Setup Initial ___________ Chuck’s Haven Banquet Hall 14844 Chicago Road, Dolton, IL 60419 708-849-2100 –[email protected] Page |3 Base Price ________________ Insurance Required ______________ Additional ________________ Account Balance _______________ Deposit ________________ Deposit Due _______________ _________________ Deposit Due Date _______________ _________________ Final Balance _______________ Booking Fee_________________ Final Balance due __________________ TOTAL Payment Rcvd __________________ Date ________________ ________________ Please Note: Deposits are due at time of Rental (no exceptions) *We require a $100 booking fee ($50 is applied to your balance and $50 is a non-refundable holding fee) *We require a $100 fully refundable Cleaning Deposit. (Hall must be left without damage/ clean condition free of trash). *Final payment must be made within 10 days of your event or it will be cancelled. Deposits forfeited. *All table coverings and decoration must be taken at end of event. Chuck’s Haven will not be responsible for property left after event is over. * Final balance must be paid by due date or event will be cancelled. ______________________ *No Personal checks accepted within 10 business days of the event TERMS GUIDELINES AND LIABILITY Terms – All pricing and rate are subject to change. Deposit required at the time of booking. No cash refunds are given. Refunds will be made within 48 hours of written cancellation.. All cancellations must be made in writing and submitted to Chuck’s Haven staff. If you cancel the event 60 day prior to the booked date, your full balance, (minus $50 booking fee) will be refunded. If canceled 30 days prior to the event 75% of your balance, (minus a $50 booking fee) will be refunded. If you cancel within two weeks (10 days) of the event you forfeit your full balance. If the event is cancelled by Chuck’s Haven, you will be given the choice of a full credit or refund (minus a $50 booking fee) A $25 returned check fee will be assessed Chuck’s Haven Banquet Hall 14844 Chicago Road, Dolton, IL 60419 708-849-2100 –[email protected] Page |4 By signing this document, I/we) agreed to the following: 1) The undersigned member or guest and any guests in his/her party will abide by the terms of this agreement at all times during their visit and will comply with all rules and regulations posted or otherwise communicated to undersigned. 2) In case of illness or injury, Chuck’s Haven Banquet Hall is authorized to contact emergency medical treatment personnel (911) as the guest’s expense 3) Chuck’s Haven Banquet Hall reserves the right to have guest removed from the facility who fail to comply with any posted rules and regulations or otherwise breaches the terms of this contract, in which case the guest will not be entitled to a refund. I understand and agree that by signing this agreement, I am giving up my right (and/or the right of the minor(s) for whom I sign) to make any claim against Chuck’s Haven Banquet Hall, its agents, employees and volunteers, including the right to sue them for bodily injury or property damage or an other loss that I might suffer while using Chuck’s Haven Banquet Hall facilities, service, except as limited by law. Signature ______________________________________________ Date_____________________ Print__________________________________________________ Chuck’s Haven Banquet Hall 14844 Chicago Road, Dolton, IL 60419 708-849-2100 –[email protected]
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