Total Facility Rental Fee                                                                                    

  (balance to be paid no later than 24 hours prior to event set up)

Space(s) to be used     ____________________________               $_____________

                                     ____________________________               $_____________

                                     ____________________________               $_____________

Custodial fee                                                                                       $                 75.00

Facility Opening/Closing/Monitoring                                                $                 75.00

Additional charges _________________                                           $_____________

Additional charges _________________                                           $_____________

Additional charges _________________                                           $_____________

Other charges    ____________________                                          $_____________

                                    GRAND TOTAL                                          $_____________

Deposit to be paid by _________________                                       $_____________

Balance to be paid by _________________                                      $_____________

                                                                                                                _________ Lessee initials