Where East meets West
11713 Jollyville Road, Austin, TX 78759
Tel: (512) 336-5069 Fax: (512) 336-5075 www.asianamericancc.com
Application To Rent Rooms & Facilities
Information on Renter
Name of Company/Organization: ____________________________________________
Authorized Representative: _______________________ Membership# ______________
Or
Name of Member: _____________________________ Membership# _______________
Address: ________________________________________________________________
Contact Phone # __________________________________________________________
Room #: ________________________________________________________________
Date: _____________________ Time:_________________ Total # of hours: ______
Purpose: ________________________________________________________________
________________________________________________________________
Expected number of attendants: ________ Rent Rate: $ _________ per hour / per day
Room #: ________________________________________________________________
Date: _____________________ Time:_________________ Total # of hours: ______
Purpose: ________________________________________________________________
________________________________________________________________
Expected number of attendants: ________ Rent Rate: $ _________ per hour / per day
Facility: ________________________________________________________________
Date: _____________________ Time:_________________ Total # of hours: ______
Purpose: ________________________________________________________________
________________________________________________________________
Expected number of attendants: ________ Rent Rate: $ _________ per hour / per day
Total Rent: Room# ________; _____ hrs / days x $_____ per hr. / day = $ __________
Room# ________; _____ hrs / days x $_____ per hr. / day = $ __________
Facility ________; _____ hrs / days x $_____ per hr. / day = $ __________
Total amount of rent $
=========
Refundable* Security Deposit: $ ____________ ( on separate receipt )
Security deposit was refunded to renter on:
date _____________ Renter Signature_______________________
Notes: _________________________________________________________________
_________________________________________________________________
The Renter hereby agrees to abide by the following Rules and Regulations in relation to the application to reserve rooms and/or facilities in the premises of the Landlord (Asian American Cultural Center):
( a ) Pay all rent in full at the time of confirmation of reservation. ( If reservation is made by phone, fax, letter or e-mail,
Confirmation of reservation shall not be given until all monies are received. A fee of $25 will be charged for each returned
check )
( b ) * Pay a Refundable Security Deposit (if required) when the rental period exceeds one calendar month, consecutively or at intervals; and allow the Landlord to use the Security Deposit to pay arrears of rent, to repair any damage or injury, or to pay any expenses or liability incurred by Landlord as a result of the default or damage.
( c ) Produce the official receipt of the Refundable Security Deposit to make claims on refund.
2. Obey all laws, ordinances, orders and rules & regulations applicable to the use, condition, and occupancy of the premises.
3. Repair any damage to the premises caused by Renter at the sole expense of the Renter.
4. Hold the Landlord harmless from any loss, attorney’s fees, expenses, or claims arising out of use of the premises.
5. Hold the Landlord harmless and waive all liabilities on the Landlord’s part in case of injury or death happened on the
. premises as a result of natural or human effort or under any other unforeseeable circumstance.
6. Forfeit half of the rent paid to the Landlord if cancellation of reservation is made less than 24 hours prior to the start of the
rental hours.
7. Forfeit the entire rent paid to the Landlord if cancellation is made less than 12 hours prior to the start of the rental hours.
8. Create no nuisance and/or interference with other Renter’s normal business operation, or Landlord’s management of the
building(s).
9. Renter shall obtain insurance at its own expense if Renter deems insurance is necessary.
RENTER hereby submits this application, duly signed by an authorized person, to LANDLORD on this day, _____________, 2007.
__________________________
LANDLORD hereby accepts the RENTER’S application, and agrees to rent the premises listed on Page 1 of this application to the above RENTER.
Asian American Cultural Center
__________________________
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