Facility Usage Application Form

MacNider Rental Policies

Facility Usage Application Form

Please fill out to move forward with booking the Salsbury Room for a rental event at the Charles H. MacNider Art Museum. Please note that filling out this form does not guarantee that your date is available. You will be contacted within two business days after filling out the form with contracts and what payment is due and when.

Name : *

Email : *

Phone : *

Address : *

Date & Time of Event : *

What time will setup begin and what time will clean up end? : *

Type of Event : *

# of Guests Expected : *

Will alcohol be served at your event? : * No Yes, will be given away. Yes, will be sold Yes, and includes hard liquor

Is this event for a non-profit organization? : Yes No

Are you a current museum member? : Yes No

Are you planning on coming in the day before to set-up? : Yes No

Will you be holding your event in any additional areas? : No, just the Salsbury Room/Library area Yes

If you answered YES, to additional event areas, where? :

Will you need an area to prepare food? : No Refrigerator (no freezer) Kitchen area Studio B (if available)

Will you need a space for changing? : Yes No

Do you plan on using our AV equipment? NOTE: Does not include a microphone. : Yes No Maybe

Additional details or special requests :

I have read, understand, and will follow the MacNider Rental Policies. : *

Signature of Responsible Party : *

By using this form you agree with the storage and handling of your data by this website. Your information will not be shared.

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