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BOARDROOM RENTAL REQUEST FORM Member Business

_______________________________________________________

Contact Person _____________________________

Tel _______________________

Email ___________________ Fax __________________ Requested rental date: _____/______/_____ Second choice _____/______/_____ DD MO YY DD MO YY Time of day required: _________ to ________ (including setup and takedown) Room setup:

Theatre-style

Boardroom-style

Other (please specify below)

Please check the items required. Note: members are invoiced at time of reservation for boardroom rental and any equipment. Refunds will be issued for cancellations received 30 days or more in advance of reservation.

RENTAL FEE

ITEM

DETAILS

Boardroom Rental

Hourly

$10 $30

Projector & Screen

Half day (4hr) Full Day (8:30 - 4:30) Hourly Half Day

$60

Full Day

$100

*Teleconferencing

Hourly

$50 $20

$5

Half Day

$15

Full Day

$25

*Please note that any long distance charges incurred will be invoiced separately

Wireless internet connection Television

Password supplied at time of setup

N/C

With built-in DVD & VCR

N/C

Hospitality Coffee

Per pot. Includes cream & sugar

$7

Tea

Per pot. Includes milk & sugar

$5

Filtered Spring water

Per pitcher Flip chart stand with paper & markers (two stands available)

$1

Workshop supplies

$5

Total

For more information, please contact the Chamber office (519) 753-2617. Completed request form should be faxed to (519) 753-0921.

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