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Addendum Meeting Room Use Request Form WPBC Meeting Room Use Request Form Account Today s Date Organization Address City State Home Phone Contact Zip Work Phone Ext Name Telephone Fax Email 1. Is either a business or organization sponsoring this rental Org - Yes No Is your organization a registered 501 c 3 not-for profit organization 2. Is a private individual sponsoring this rental General Use Is your event open to the public Will you collect admissions dues donations or fees Is your event a fundraiser Will you be advertising your event Are you requesting a fee waiver Will your event be catered Will you be serving food and/or drink Will alcohol be served Will red dye drinks including red wine be served Use Is this booking a third-party rental i*e* are you renting for someone else Plaza Room Have you booked a room at WPBC before No Will you need extra time to decorate setup take down Will you being renting use of the Organ or Piano Sanctuary Smoking is only allowed outside of the building. RENTAL RATES -2014--2015 SEASON Room Type Capacity Rental Rates Member Affiliated Non-Affiliated/ General public No charge 63/hr 105/hr Musical instruments in sanctuary --piano or organ N/A 158/use Sound System use in Sanctuary 53/use 32/hr 53/hr 16/hr 27/hr 19/use Summer Pass - 90 5 sections Kitchen Outside electrical outlet Small Meeting Rooms Upstairs Location Room Booking 1 Additional Information Alternate Dates/Times Rental Time No* Persons Attach additional sheets for more booking requests WPBC Use Only Date Received Received by Accepted Denied Reason HH ID Rsv* No* Date Acknowledged. Is either a business or organization sponsoring this rental Org - Yes No Is your organization a registered 501 c 3 not-for profit organization 2. Is a private individual sponsoring this rental General Use Is your event open to the public Will you collect admissions dues donations or fees Is your event a fundraiser Will you be advertising your event Are you requesting a fee waiver Will your event be catered Will you be serving food and/or drink Will alcohol be served Will red dye drinks including red wine be served Use Is this booking a third-party rental i*e* are you renting for someone else Plaza Room Have you booked a room at WPBC before No Will you need extra time to decorate setup take down Will you being renting use of the Organ or Piano Sanctuary Smoking is only allowed outside of the building. Is a private individual sponsoring this rental General Use Is your event open to the public Will you collect admissions dues donations or fees Is your event a fundraiser Will you be advertising your event Are you requesting a fee waiver Will your event be catered Will you be serving food and/or drink Will alcohol be served Will red dye drinks including red wine be served Use Is this booking a third-party rental i*e* are you renting for someone else Plaza Room Have you booked a room at WPBC before No Will you need extra time to decorate setup take down Will you being renting use of the Organ or Piano Sanctuary Smoking is only allowed outside of the building. RENTAL RATES -2014--2015 SEASON Room Type Capacity Rental Rates Member Affiliated Non-Affiliated/ General public No charge 63/hr 105/hr Musical instruments in sanctuary --piano or organ N/A 158/use Sound System use in Sanctuary 53/use 32/hr 53/hr 16/hr 27/hr 19/use Summer Pass - 90 5 sections Kitchen Outside electrical outlet Small Meeting Rooms Upstairs Location Room Booking 1 Additional Information Alternate Dates/Times Rental Time No* Persons Attach additional sheets for more booking requests WPBC Use Only Date Received Received by Accepted Denied Reason HH ID Rsv* No* Date Acknowledged.