Atascadero Association of Retired People
7484 Pismo Avenue
Atascadero, California 93422


BUILDING RENTAL APPLICATION for_________________Date(s)

                                 Approximate Times :_________________________

 

        Name/Organization_____________________________________________

 

          Address______________________________________________________

 

          Telephone Number(s)___________________________________________

 

          City, State, ZIP________________________________________________

 

          California Driver's License_______________________________________

 

          Place of Employment___________________________________________

 

          Telephone Number_____________________________________________

 

         

   RENTAL FEE____________     CLEANING/SECURITY DEPOSIT____________

                                                                                                                    (Refundable)

 

          [Office Use Only_____________________________Received Date__________________]

       

                    Security Guard(s) @________for 4 hours coverage

                                                (necessary if Hard Alcohol Present)

 

          Signature________________________________Date_______________

 

   [ MY SIGNATURE ALSO CERTIFIES I HAVE READ & UNDERSTAND CLUBHOUSE USAGE            INSTRUCTIONS AND AGREE TO PAY FOR ALL OR ANY DAMAGES TO BUILDING OR PROPERTY INCURRED DURING USAGE]

 

          Rental fee and security deposit must be received and dated no later than thirty (30) days prior to the date(s) of reservation.   PLEASE make check(s) payable to Atascadero Association of Retired People.  If you have any questions, please call the number above or __________. After completing this form, return to     Post Office Box 111, Atascadero, Ca 93423 with appropriate checks/money orders.

 

 

                                   

                                                                            THANK YOU