RHA Equipment Rental Form Please select the item(s) you are requesting: □ □ #__ #__ □ 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: □
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