ACACIA LODGE NO. 20 F&AM
20 THOMPSON
AVE. DOVER. NJ 0780
PHONE
973-328-9768
HALL RENTAL
NAME
ADDRESS_______________________________________________
CITY ___________________ STATE_____________
ZIP_______
PHONE___________________ CELL___________________ EMAIL
RENTAL DATE____________________
TYPE OF PARTY_______________________
TIME OF PARTY FROM________________ TO ____________________
NUMBER
ATTENDING________ TABLES - ROUND
(SEAT 8) or RECTANGULAR
(SEAT 10)
DONATIONS
FOUR HOURS MINIMUM $ 375.00
EACH ADDITIONAL HOUR $100.00
CUSTODIANS I BARTENDERS - $80.00 EACH
FOR FOUR HOURS TWO REQUIRED
FOR PARTIES 100 OR LESS
THREE REQUIRED
FOR PARTIES OVER 130
$ 20.00 EACH
FOR EVERY ADDITIONAL HOUR KITCHEN FACILITIES $100.00
31,i0
Silitt3 FEE FOR DISPOSAL OF EACH BAG
OF GARBAGE
GENERATED
BY THE PARTY AND NOT REMOVED
$100.00 CLEANUP FEE
IF APPLICABLE
TOTAL
DEPOSIT $200.00
(REQUIRED TO RESERVE RENTAL DATE)
DEPOSIT AMOUNT PAID RENTER'S SIGNATURE
BALANCE OWED MEMBER'S SIGNATURE
DA TF