5 Point Star
Fraternal Order of Police
Volusia County Jim White Lodge #40
P.O. Box 943
New Smyrna Beach, FL 32170-0943
5 Point Star
 
Telephone
(386) 423-2325
Lodge Rental Agreement
Fax
(386) 423-1554
 

Date of Event ___________ Type of Event_________________________ Hours of Event___________

USER Person/Organization Requesting Facility and Assuming Responsibility:

_________________________________________________ #Anticipated Attendance _______

 
Mailing Address________________________________________________________________
 
City__________________ State___________ ZIP+4 Code_______________
 
Home Phone _________________ Work Phone_________________ Cell/Pager__________________
 
Terms and Conditions
 
The rental fee is $150.00. Deposit is $150.00. Deposit will be refunded unless there is damage to the facility or if cleanup is not performed. Cleanup includes removal of all trash from the premises. Rental fee and deposit must be paid a minimum of 15 days prior to the event unless other arrangements are made with the Lodge..
 
1. Do Not Affix Any Object to the Walls.
2. No Confetti of Any Kind Allowed on Premises.
3. This is a No-Smoking Facility.
4. You are Responsible for your Guests' Activities at All Times.
5. Point Out Anything Broken or Damaged to Staff Prior to Event to Relieve your Responsibility.    Damage to the facility or grounds will result in Forfeiture of Deposit.
6. FOP May Refuse to Rent to Any Person or Group.
7. Clean-up is the responsibility of USER. All rubbish is to be removed completely from the premises    by the USER. Failure to follow this policy will result in the forfeiture of your deposit.

I hereby agree to the Terms and Conditions above.

 
Users Signature______________________________________________________ Date___________
 
Lodge Representative's Signature______________________________________ Date____________