Vernon Emergency Medical Services Building Usage Request Form

Contact Information

Address

Street Address *

City

State

Country

Postal code

Event Information

Type of Function/ Event *

Second Date Choice

Event Details

What's Being Supplied/ Brought?

Needed Equipment: Input the number you're requesting (Keeping in mind that we'll review this with you)

6' Tables (White): Max 8
Folding Chairs (white): Max 30

Conference Package

House Hold Kitchen Usage

Upload your umbrella liability insurance here.

By submitting this form, you confirm that you understand and agree to adhere to the rental terms and conditions outlined in the VEMS Building Rental Agreement. A copy of the agreement will be automatically sent to your email upon submission of this form.

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