Hall Rental Request Form | Samish Island Community Center

Renter (if a Business, list the Business here, say No to "Is the Renter an Island Resident?", and list your name as the Island Sponsor) *

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Email *

Phone *

Beginning Date *

Ending Date *

Expected Beginning and Ending Times *

Brief Description of Event *

Do you need the projector? *

It is OK to let us know later if you aren't sure yet.

Do you need the sound system? *

It is OK to let us know later if you aren't sure yet.

Is the Renter an Island Resident or Property Owner? *

Island Sponsor Name *

First

Last

Island Sponsor Address *

Address Line 1

Address Line 2

City

State

Zip Code

Island Sponsor Email *

Island Sponsor Phone *