RENTALS ON A TEMPORARY BASIS FORM
For non-profit organization
TAKE NOTE THAT MOST OF THE FIELDS OF THE QUESTIONNAIRE MUST INCLUDE A RESPONSE IN ORDER TO HAVE A VALID FORM.
Organization name :
Person in charge :
Address :
Office : City:
Province/country : Postal code:
Telephone : - Extension:
Fax : -
Portable : -
Pager : -
E-mail :
Internet site :
Organization description (mission) :
Raisons of rental (goal of the acitivty) :
Scheduled dates (register two choices of date among the days available according to your calendar) Two days to only are allocated you.
Days available
Scheduled dates : wenesday and thuesday Scheduled dates : friday and saturday
Please choose so yes or not you will need material (Note that the material is provided with the cost of the rental)
Tables
yes
no
If yes, how much :
Chairs
Outlets
Price
75,00 $
Administration office PLACE DU ROYAUME 1401, boul. Talbot Saguenay (Québec) G7H 5N6
After the analysis of your demand, a written communication will be sent to you for your rental on a temporary basis.
this request and make pravenir it to us. Your request is effective as from the moment when we receive this printed form and the copy of the documents requested by e-mail, by fax orby mail.