fill out a request

 RHA Equipment Rental Form
Please select the item(s) you are requesting:
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Popcorn Machine
Snow Cone Machine
Blenders
Tables
Office Space
$50 / 100 serv
$50 / 100 serv
$10/Unit
Free
Free ​(During Hours)
Do you need any addition servings? ($25 / 100 serv) ​ □ ​Yes:_________ ​□​ No Start Date & Time: ______________________ End Date & Time: _________________________ Contact Name: ________________________________ Email: ___________________________ Organization: __________________________________________________________________ Account Number: ____ ­ __________ ­ __________ ­ ____ ­ __________ ­ ___________ Accountant Name / Email: ________________________________________________________ Club Authorized Signature: _______________________________________________________ ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ OFFICE USE ONLY ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ Total Due: ________________ Arrival Date: ____ /____ /____ Staff Initial: ______________ Pres/VP: ______________________________ Finance Director: _________________________ Added to Calendar: ​□ ​Paid In Full: ​□