Lodge Rental Request

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Millstone Elks Lodge #2613 Event Request form for Members Only. This form is a REQUEST form only. It does NOT confirm the event date. A member of the House Committee will contact you for confirmation.

Members Name and Member Number: *

For Example: John Smith/ Member# 00432

Your Email Address: *

Phone Number where you can be reached: *

Are you a member of a special committee : *

For Example: Yes, Motorcycle Club

What type of event? *

For example: Fundraiser, Birthday Party, Reunion, etc.

Event Date Requested *

YYYY

Start time *

Time

End time *

Time

How many total guests? *

Where would you like to hold your event? *

Indoor Hall (Capacity of 110 guests)

Outdoor Pavilion (Capacity of 80* guests)

Will you be serving food? *

Yes, I'd like for the Lodge to cater.

Yes, however I am using an outside caterer.

Yes, It's a potluck.

No food will be served.

I'm not sure yet.

Will you be needing bar/beverage services? *

Yes

Any additional comments:

Thank you for your request! A House Committee Member will be in touch will you shortly!

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