VICTORIA CROSSING COMMUNITY ASSOCIATION

c/o Atlantic Realty Management, Inc.

501 Zion Road #8

Egg Harbor Township, NJ 08234

Phone: (609)926-8060 ♦ Fax: (609)653-0645

 

COMMUNITY CENTER RESERVATION FORM (2007)

 

 

Date Reserved: ________________________ Hours: From _______to_______

 

Resident Name:___________________________________________________

 

Address:_________________________________________________________

 

City: ____________________________ State: ___________ Zip:____________

 

Home Phone: _____________________ Work Phone:_____________________

 

Purpose of Rental, please check one:

 

                    □        Social                             □        Recreational

 

Number of Guests:  Adults: _______ Children: _______ Total: ______

 

RENTAL FEES AND DEPOSIT MUST BE PAID AT TIME OF APPLICATION AND PRIOR TO RESERVATION DATE

 

(____)   $150.00 Rental Fee                 (____)   $100.00 Security Deposit

 

Please issue two (2) money orders made payable to:

VICTORIA CROSSING COMMUNITY ASSOCIATION

 

In renting the Community Center, I agree to abide by the Rental Policy, and attest that I have been given a copy of the policy.

 

 

Name: ________________________ Signature: ______________________

                   Please Print

                                                       Date: __________________________

 

 

 

NOTE: ALL COMMUNITY CENTER RENTERS MUST PROVIDE A CERTIFICATE OF INSURANCE FROM THEIR HOMEOWNER’S INSURANCE POLICY, SHOWING VICTORIA CROSSING COMMUNITY ASSOCIATION AS ADDITIONAL INSURED.