The Laurelhurst Club: Rental Request Form


	1. Event Date (mm/dd/yyyy): 		/	/


	2. Type of Event:
		___  Wedding
		___  Reception
		___  Birthday Party
		___  Anniversary Party
		___  Corporate Event
		___  Dinner Party
		___  Graduation Party
		___  School Event
		___  Other _______________________________________


	3. Number of Guests: 


	4. Contact Information:

		First Name: 

		Last Name: 

		Daytime Phone: ( 	 ) 		 - 

		Evening Phone: ( 	 ) 		 - 

		Email: 
		
		Best Time to Call: 


	5. Additional Details or Comments: 





Please email completed form to: laurelhurstclub@juno.com
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