GRANT PARK PAVILION
REGISTRATION FORM

Just complete this form. Click on Submit when ready to send.

 

RESIDENT OF THE CITY OF UTICA?

YES
NO

NAME:

COMPANY:

ADDRESS:

City:

State:

Zip:

PHONE:

FAX:

EMAIL:

Drivers License:

EVENT:

NO. of PEOPLE:

TIME PERIOD:

CHECK NO:

FEES: (due at time of reservation)
RESIDENT = $100.00 rental & $100.00 deposit
NON RESIDENT = $150.00 rental & $150.00 deposit

If submitting this form, please be sure to mail in payment for above reservation. Be aware that this reservation will not be confirmed until payment is received.

I affirm that I have reviewed Ordinance 10, as amended, and that I will abide by the terms of the Ordinance. Failure to do so will result inthe loss of the securtiy deposit. In the event that charges for damages and cleaning exceed the deposit, I will be responsible for such charges and will be billed by the City Clerk for any deficiency. Reservation fees are non-refundable.

Any comments?