Point Loma Assembly Rental Application

Point Loma Assembly Renter Application

Complete the form below and hit "Submit Application" ONCE. Please provide all information known at this time. All fields with * are required for submission.
Name*
Name of Organization or Individual
Event Contact

First NameLast Name
E-mail
Contact Phone:*

Area CodePhone Number
Alternate Phone

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Federal Tax ID
Provide Tax ID for 501 (c)(3) discount.
Event Date*

MonthDayYear
Date
Type of Event*
Lecture, Meeting, Social Event, etc.
Start Time of Event*
Beginning time (Include set up)
End Time of Event*
End Time (Include clean up)
Attendees
Estimated Number of Guests or Attendees
Please be aware that every renter must provide a certificate of insurance naming Point Loma Assembly as an additional insured.
Do you plan on serving alcohol

YesNo
Do you plan to use a Caterer?

Yes, Complete box belowNo
Caterer Name / E.Mail / Phone #
Other info about your event.
How did you Hear about us?
Thank you for your interest. You will receive a automated response page after submission. Our rental manager will contact you shortly to discuss your event.
Should be Empty:

Point Loma Assembly Renter Application