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 60

Conference Package

House Hold Kitchen Usage

Upload your umbrella liability insurance here.

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

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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