Rental Inquiry Form

Roosevelt HouseRental Inquiry Form

Name Name * First Last
Title
Organization *
Email *
Phone Phone * - ### - ### ####
Industry

Industry Consulting Education Not-for-Profit Financial Services Individual Insuracne Law
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
What type of event are you planning? *

What type of event are you planning? Business/Board Meeting Seated Dinner Reception Conference Lecture Film Screening Other
Approximately how many guests will attend? *

Approximately how many guests will attend? Less than 50 guests 50 - 100 guests 100 - 150 guests More than 150 guests
Would you be interested in having guided tours of Roosevelt House during your event?

Would you be interested in having guided tours of Roosevelt House during your event? Yes No
Requested Date (First Choice) Requested Date (First Choice) * / MM / DD YYYY
Requested Date (Second Choice) Requested Date (Second Choice) * / MM / DD YYYY
Requested Date (Third Choice) Requested Date (Third Choice) / MM / DD YYYY
Date Range

If your dates are flexible (the month of May, for example), please indicate a range or month here
Time of day requested: *

Time of day requested: Morning (7am - 12pm) Midday (12pm - 5pm) Evening (5pm - 10pm) All-Day Event Other (Describe below)
Brief event description: *
Will alcohol be served at your event? *

A liquor permit is required for all events and is the responsibility of the person organizing.
How did you hear about Roosevelt House? *
Comments/Questions