Rental Request

Rental Request Form

There are errors in your form submission:

Enter first name.
Enter last name.
Enter the address.
Enter the city.
Enter the state.
Enter the zip code.
Enter the email address.
Enter the phone number.
Enter requested date.
Enter daytime or evening.
Select type of event.
Enter number of guests.

Please complete the form below. Your request will be sent to a Special Events Coordinator who will follow up with you as soon as possible. We look forward to the opportunity to discuss your event.

Required Fields *

Contact Information

First Name: *
Last Name: *
Organization:
Address: *
Address 2:
City: * State: * Zip: *
E-mail: *
Telephone (including area code): * Cell Phone:

Date and Time Information

Requested date: *
Daytime or evening: *
Type of event: *
If other, please describe:
Number of guests: *

Please note any questions, special needs, or interests in this space:

Please note this is NOT a confirmation. If you would like to speak with a Special Events Coordinator please call 252-247-4003 ext. 291 or ext. 260.