RENTAL REQUEST FORM

TDC RENTAL REQUEST FORM
The information you provide in this application will be used to determine if space is available for rent. Requests should be made no later than 14 days in advance of rental date. Please allow 3-5 business days for a response to your request. Your response will come electronically from the following email: info@dreamcenterharlem.org. Please make a note of it for your inbox.
PART I: THE FORM
1. RENTER; INDIVIDUAL, ORGANIZATION, OR COMPANY
Name*
Event Title*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you a 501(c)3? *

YESNO
If yes, please provide your Tax ID Number:
Contact Person*

First NameLast Name
Contact Number*

Area CodePhone Number
Contact E-mail*
2. REQUESTED DATE(S):
1st Choice*

MonthDayYear
2nd Choice*

MonthDayYear
3rd Choice*

MonthDayYear
3. REQUESTED ROOM(S):
Check all that apply:*

Creative Arts (Occupancy: 47)Leadership Development (Occupancy: 44)The Lobby (Occupancy: 49)Entire Space (Occupancy: 140)
4. SCHEDULE
Arrival and Departure Time*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Departure Time*

:HourMinutesAM/PM Option
Event Start and End Time*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Event End Time *

:HourMinutesAM/PM Option
5. EVENT TYPE
Please select one*

MeetingRehearsalSpecial EventWorkshopOther
6. ATTENDEES:
Please indicate the total number of expected participants. *
Do you plan to charge for this event? *

YesNo
Do you plan to sell products?*

YesNo
Would this be a reoccurring rental? (Meetings cannot be submitted as a reoccurring request)*

YesNo
How did you hear about The Dream Center?*

Search EngineTDC WebsiteReferred by a Friend/BusinessSocial MediaEmails/NewlettersNeighbor of The Dream CenterOther
Please provide a brief synopsis of the event. *

0/25
Attach a proposal (optional)

Upload a File

Cancelof
Fax Number
2. NEEDS OF REQUEST
PART II: THE FACILITIES
This questionnaire helps us better assess your needs so that we can send you an accurate quote. Please answer as completely as possible.
Do you have liability insurance for this event?*

YesNoN/A
Please provide a brief description of your room set up*

0/25
Requested Room(s)*

Creative Arts RoomLeadership Development RoomEconomic Empowerment Room (Currently unavailable)The LobbyWe'd like to rent the entire space
Will you need any of the following for your event? (Check all that apply)

Laptop(s)Table(s)Chair(s)TVSpeakersPodiumMac AdapterVGA AdapterOther
Should be Empty:

TDC RENTAL REQUEST FORM

PART I: THE FORM

PART II: THE FACILITIES