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Multi-Purpose Building- 225 West Pantego Street
Town of Belhaven
Post Office Box 220
Belhaven, NC 27810
For
Rental Information: (252) 943-3055: Ext 210
Rental Agreement
Name
of Organization or Event Function _______________________________________
Responsible
Party _________________________________________________________
Phone (___ ) _________ Address ____________________________________________
Date of Rental ____________________________________________________________
Day of Week Month
Year Time
of Rental
The
renter agrees to protect, defend, indemnify and
hold the Town of Belhaven and its officers, employees
and agents free and harmless from and against any
and all losses, penalties, damages, settlements,
costs, charges arising out of or relating to any
and all claims, liens, demand, obligations, in connection
with or arising directly or indirectly out of this
agreement and/or the performance hereof. The renter
further agrees to investigate, handle, respond to,
provide defense for and defend any such claims,
etc., at his sole expense and agrees to bear all
other costs and expenses related thereto, even if
it is groundless, false or fraudulent.
I
have read and understand the attached Multi-Purpose
Building Rental Policy and have been instructed
by a town employee of rules and procedures to be
followed. I realize that my security deposit will
be withheld for any breach of these conditions,
for any damages, as well as additional money and
will jeopardize future use of the Multi-Purpose
Building.
_______________________________________
Renter Date
Total
Time of Rent: _______________________________________________________
From
time of key pick up until key return (including
clean up of building)
Deposit:
$150.00 _______________ Rent:
$200.00 per day _____________
Paid
By Paid
By
Amount
which may be Refunded: $150.00 ____________ to the
renter.
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