EQUIPMENT RENTAL FORM
Please Complete.
Date:
Name:
Organization:
Mailing Address:
City:
State:
Zip:
Telephone:
Fax:
Email:
Name of Event:
Time of Event (Please include set-up and break-down time)
Start:
End:
Please describe event activities:_______________________________________________________________________
Equipment Rental Charges
____Audio ($75/hr)
____Mics ($10/hr per mic)
_____Digital Projector ($75/hr)
_____Screen ($10/hr)
Technical Staff ($25/hr)______(please check this box if using equipment, if audio is being requested 2 technical staff
will be required)
MHF Staff ($25/hr)__________
Community/Neighborhood Discount (contact MHF staff)
Please note any special needs:__________________________
Name(print please)___________________________________
Signature___________________________________________
Instructions
1)
Please complete form below and read and sign attached center policies & guidelines. Only MHF staff can
operate equipment belonging to MHF.
2)
If your requested date is available the completed use agreement, signed center policies and guidelines &
Equipment rental deposit will be needed to confirm your event date. A deposit of 50% of total estimated
cost of equipment rental is required. Once deposit is received a confirmation letter will be sent to you.
3) Cancellation Policy & Fee: Cancellation must be made at least two weeks prior to event; a cancellation fee
will be charged for reservations terminated within 48 hours of contracted date equal to the entire deposit.
For Office Use Only
Date Approved:
Staff Assigned:
Deposit Received:
Agreement Received: