British & Dominion Social Club of Southern California
Rental Request Form



NAME: ____________________________   MEMBERSHIP#: _____________
     
DATE OF EVENT: ________________________
     
TYPE OF EVENT: _________________________  THEME: _____________________
                (Wedding, Birthday, Retirement Etc)  
     
NUMBER OF GUESTS: __________ NUMBER OF CHILDREN: _______
                                  (Under 16 Yrs.)
     
START TIME: _____________________   FINISH TIME: _____________________
     
ENTERTAINMENT:   YES  /  NO   IF YES: ___________________________
       (Type of entertainment - Band, DJ Etc.)
     
OUTSIDE CATERING:   YES  /  NO    
 (Catering and Entertainment - Arrival & Set-up Time - No more than 2 hrs. before start time)
   
HALL RENTAL FEE:   $ _____________________
DEPOSIT:   $ ___$200.00____________ (paid in advance, *refundable)
TOTAL:   $ _____________________
     
TYPE OF PAYMENT  
CASH AMT.: $ _____________________
CHECK #: _____________________
CREDIT CARD #: _____________________
 
FULL AMOUNT OF RENTAL MUST BE PAID 30 DAYS PRIOR TO EVENT START DATE.
     
   
SIGNATURE: _____________________________________   DATE: _____________________
   
SIGNATURE: _____________________________________   DATE: _____________________
         (British & Dominion Board of Director)
   
*Deposit is not refundable for cancellations made less than two weeks of event date.