Request edit access
Building Use Agreement
Ecumenical Campus Ministry 785-539-4281
904 Sunset Ave ecmksu@gmail.com
Manhattan, KS 66502 ecmatkstate.org

________________________________________________________________________________

DONATION AND DEPOSIT

A donation is requested for the use of the building. A $75 refundable deposit (on
a separate check or by cash) will be required at the time of the reservation. Any
cleaning and/or damage costs will be charged against the deposit.

Submitting this form does not guarantee the requested time. The time is only
guaranteed upon receipt of payment and confirmation from ECM staff.

PLEASE MAKE CHECKS PAYABLE TO: ECM

Separate checks are requested for donation and deposit. Donation is due no later
than one business day prior to the scheduled event. Your deposit will be returned
to you after the event, pending forfeiture for rule violations or any charges for
damage and/or clean up. The usage fee shall be the greater of:

STUDENT GROUPS NON-STUDENT GROUPS
Without Kitchen: $20/hour Without kitchen, $25/hour
With kitchen: $35/hour With kitchen, $40/hour

________________________________________________________________________________

BUILDING INSPECTION

If possible, a representative of the group using the building should conduct a
walk-through with a representative of ECM prior to and after the event in order to
note the condition of the building and its contents. If an ECM representative is not
available, the group using the building must still inspect the condition of the
building both before and after the event.

Name of Organization *
Your answer
Contact Person *
Your answer
Mailing Address *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Estimated Number Attending *
Your answer
Requested Use Date
MM
/
DD
/
YYYY
Requested Use Time
Please enter the start and end time in format HH:MM - HH:MM (ex: 6:00 PM - 9:00 PM)
Your answer
Rules and Regulations for Building Users *
Please check each item to indicate understanding and agreement.
Required
Cleaning Required *
Please check each item to indicate understanding and agreement.
Required
Donation Amount (See Above) *
$75 deposit is required to confirm the reservation. Building use donation (separate checks requested) is preferred at time of deposit and required no later than one business day prior to event. Payments can be sent by mail to ECM, 904 Sunset Ave, Manhattan KS 66502, or delivered to the ECM Office.
Your answer
Signature *
Please enter your name below as a signature. ANY VIOLATION OF THE ABOVE RULES WILL RESULT IN ADDITIONAL CHARGES AND/OR FORFEITURE OF DEPOSIT AND DENIAL OF FUTURE USE OF THE BUILDING.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy