Conference Room Rental Request - South Carolina Autism Society

Company / Business Name *

Contact Person Name

Phone *

Email *

Contact Person/ Company Address *

Address Line 1

Address Line 2

City

State

Zip Code

Event Date / Time

Date

Time

Event Purpose

Number of Hours Needed

Available hours are between 6:00p.m.- 10:00p.m. May arrive one hour in advance for setup time.

Set-up time

Approximate # of Guests

Maximum Capacity - No more than 25 for seated events. No more than 40 for standing room only

Checkboxes

Agreement Statement *

I agree that the above statements are true and I agree that I have read, understood, and will honor all policies and information, including the attached Conference Room Rental form, which is a part of this agreement. I understand that the Autism Society of South Carolina is only expected to provide services and equipment identified and agreed to in this contract.

Signature of Applicant *

Date *