Bharatiya Temple of Lansing

Facility Reservation Form (for Members only)

I am a dues-paying member of the Bharatiya Temple of Lansing. I have reviewed the Rental Rules and Regulations of the Temple. I expressly and specifically agree to abide by these Rules and Regulations and further agree to hold the Bharatiya Temple of Lansing, the Temple Board of Trustees, employees and agents harmless from any and all claims or damages resulting from or incidental to my rental of the Temple facilities.

I would like to reserve the following facility

Hall
Basement
Hall and basement

Date (mm/dd/yy):

From : To :

Hours (4hr/8hr)

Intended use

Temple equipment needed

Name

Address


City State Zip

Phone
E-mail

Rent : $200.00 for 4 hrs; $400 for 8 hrs
Cleaning Deposit : $100.00
Please make check(s) payable to Bharatiya Temple of Lansing and mail to:
Bharatiya Temple of Lansing
955 Haslett Rd
Haslett, MI 48840

Contact : Mrs. Leela Mohan; telephone (517)321-5992; e-mail: leelamannath@hotmail.com

Comments:

*

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