Asian Health & Service Center Rental Application
Please submit an application for rental space request. Reservations are accepted only upon confirmation from Rental Coordinator and signed usage agreement.
Email address *
Name *
Your answer
Address
Your answer
Phone Number *
Your answer
Organization Name
Your answer
Classification *
Required
Nonprofit ID#
Your answer
Event Description
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
(including setup)
Time
:
Event End Time *
(including cleanup
Time
:
Estimated Attendance *
Your answer
If ongoing request, please indicate:
If ongoing request, please indicate:
Catered Event? *
Caterer Name
Your answer
Caterer Phone
Your answer
Is this event open to the public? *
Will admission be charged? *
Will children under 18 be present? *
Will items be sold? *
Will audio/visual equipment be used? *
Will music be played? *
Will alcohol be served or consumed? *
Will decorations be used? *
Will the purpose of this event or meeting include the promotion or opposition of political candidates, committees, referendums, recall petitions, and/or ballot measures? *
Room Type *
Please select the type of room you need - A/V equipment, computers, and white board available in all rooms
Required
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