Renting the Chase Mill

*Name of Organization:
*Name of Contact:
*Email Address:
Mailing Address:
*Daytime Phone:
Fax:
Are you a non-profit?: yes
no
If yes, enter your 501(c)3 number:

Area Requesting: Amphitheater
Eagle Loft (top floor)
Eagle Nest (office)
Pelican Pond (main floor)
Owl Nest (bottom floor)
Kitchen
Garden Patio
*Event Date:
Event Start Time:
Event End Time:
Event Setup Begin Time:
Strike:
Expected Attendance:
Is Fundraising Involved?: yes
no
If yes, please explain

Using a Caterer?: yes
no
If yes, please list:

Will Alcohol be Served?: yes
no
Renting Event Equipment?: yes
no
If yes, what rental company?

Rental Company Contact Info