Room Rental Form

Organization*
Address*
Street Address City State ZIP Code
Name of Contact Person*
First Last
Contact Phone Number*
What type of event*
- Single Day Event
- Multi-day Event
Date of Event
Month
Day
Year
Event Start Time

: Hours

Minutes

AM/PM
Event End Time

: Hours

Minutes

AM/PM
Start Date of Event
Month
Day
Year
End Date of Event
Month
Day
Year
Daily Start Time

: Hours

Minutes

AM/PM
Daily End Time

: Hours

Minutes

AM/PM
Number of Attendees*
I am a:*
Please call the office with a credit card to submit payment: 319-338-6460
The Association is a no-smoking facility.

Set-Up Requirements - Tables and chairs provided by Association as available.
Renting Party is Responsible for Set-Up Prior to Event - Renting party is also responsible for returning the room to its original set up, if changed.
Parking - Available in Rear Lot behind the building.
Food/Beverage Service - All arrangements will be the responsibility of the Renting Party through a caterer. All food must be prepared off-site for serving. Facility available is a catering kitchen only. No cooking or storage allowed. Caterer is responsible for removal of food and equipment and leaving the kitchen in its previous condition. A non-refundable cleaning fee of $50.00 is due with room cost.
Access to Rental Space - Renting organization will be given 30 minutes before scheduled event and 30 minutes after to perform set-up and break-down. Special arrangements for additional time must be made with the Association's Executive Officer.
Equipment Needs - Provided by Renting Party unless specified in advance. We can rent equipment at a charge. Wireless and Internet Service is available.
Payment Policy - Payment and cleaning fee must accompany this form to confirm date(s).
Cancellation Policy - 72 hours to receive refund.
Signature for Renting Organization*
Date*
Month
Day
Year
Signature for Association*
Date*
Month
Day
Year

Room Rental Form

The Association is a no-smoking facility.