Annex Rental Application
Name of Organization __________________________________
Address______________________________________________
______________________________________________
Contact Person ________________________________________
Phone Number ________________________________________
Date(s) Requested_____________________________________
Time(s) Requested_____________________________________
Total Hours Requested ___________Total time facility required for decorating, set up, use, and take down.
Please provide a brief description of your proposed event(s) and/or the reason your organization wants to use the annex.
______________________________________________
______________________________________________
Total Estimated Rental Charge $____________
I understand that the charges listed above are approximate and that final billing will be based upon total actual time used, manpower and services required.
Applicant’s Signature _____________________________________
NEEDS:
Will you require tables? How many________
Chairs? How many______
Arrangement of tables and chairs __________________________
Podium or other special needs______________________________
For Office Use Only
____________ Approved ______________ Not Approved
Signature of Town of Canton official________________________
Date Scheduled for Use____________________
