LODGE RENTAL APPLICATION

Name:
Daytime Phone:
Email:*
Description of Event:
Requested Date:
MM slash DD slash YYYY
Requested Start Time:

: Hours

Minutes

AM/PM
Requested End Time:

: Hours

Minutes

AM/PM
Questions/Comments:
Rental Fee:*
- FOP Member | $150
- Non-profit Organizations | $250
- All Others | $450
- None (paying security deposit only)
Refundable Security Deposit:*
- YES - I am paying the security deposit at this time. | $500
- NO - I am not paying the security deposit at this time. | $0
Total
$0.00
Acceptance:*
- I understand and agree to the Lodge Rental Policies and Procedures (click for PDF).
Electronic Signature*

I, the applicant for this Lodge Rental Application, warrant the truthfulness of the information provided in this application. I understand that my electronic signature constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

SGT. D.P. Land Memorial Lodge #82
Fraternal Order Of Police

SGT. D.P. Land Memorial Lodge #82
Fraternal Order Of Police

Mailing Address:
Post Office Box 1374
Cumming, Georgia 30028

Physical Address:
248 Castleberry Industrial Dr
Cumming GA 30040