Rental Application Form

First Name*

Last Name*

Group Name

Street Address

City

State

Zip Code

Phone Number

Alt. Phone Number

Email Address*

Facility Rented:
Center for Rural History Historic Farmyard

Event Description: (e.g. wedding, reunion, workshop, etc.)

Event Date

Event Start Time

Event End Time

Expected Attendance

Will alcohol be served? Yes No Not sure

Will a caterer be used? Yes No Not sure

which caterer (if known)

Use of outside canopy tent(s)? Yes No Not sure

Will AV equipment be used? Yes No Not sure

If yes, put an X by the equipment needed:
Audio Projector & screen Microphone

Verification Code

*Unless indicated otherwise, many of our photos by Rona Neri.

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