Date *

MM

DD

YYYY

Name *

First Name

Last Name

Tel# *

(###)

###

####

AGREEMENT *

I agree to assume all responsibility for the care and liability of The Hall. I will contact the Hall to describe the chair and table configuration. We agree to pay $50 if outside technical assistance is needed. I understand that my requested date is only tentative, until I receive confirmation.

Audio/Visual Needs *

A $50 fee will be added if outside technical assistance is needed. Please add specific needs in Comments.

Hall sound system-specify in comments

Hall Projector (you must have HDMI output on your computer). We have HDMI cable

Zoom (you must have a zoom account)

OWL - you must be familiar with running it

Piano (you must arrange to pick up key)

None