AGREEMENT FOR USE OF THE BOWEN HOUSE

Date

User Name Phone

Address

City State Zip

I, the undersigned, request the use of The Bowen House for the following

Date: Time: to:

Describe the function to be held at the house:

Check the following which are applicable:

Half day, one room, no kitchen $25.00 NO CHARGE for the following:
Half day, one room, with kitchen $50.00

limited flatware

china

chairs - specify number needed

tables - specify number needed

piano - special permission needed
Half day, entire house

$75.00
Half day, entire house and grounds $100.00
Full day, entire house $125.00
Full day, entire house and grounds $200.00
Total Stipend For Use $

By signing below, I verify that I have read "GUIDELINES FOR USE OF THE BOWEN HOUSE: and agree to abide by all rules and regulations specified in this agreement. I understand that failure to leave The Bowen House in the condition specified in the "Guidelines" will result in full damage charges and subsequent refusal to book any further engagements.

User of The Bowen House Date
Nancy R. Baker, Executive Director, The Bowen House Date

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