Online Application For Community Service Discount

Agreement of Discount Guidelines*
- Yes, I have read the guidelines and agree to abide by them.
Primary Contact:*
First Last
E-mail Address:*
Enter Email Confirm Email
Organization Name:*
Address:
Street Address City State ZIP Code
Phone:*
Fax:
Preferred method of contact:
- E-mail
- Phone
- Fax
Rental Start Date:*
MM slash DD slash YYYY
Approximate Rental Start Time:*
Approximate Rental End Time:*
Name of the Charity Event:*
Rental Items Requested:*
Are you a 501(c)(3) organization?*
- Yes
- No
501(c)(3) Letter
Accepted file types: pdf, doc, docx, Max. file size: 50 MB.
Please upload your proof of 501(c)(3) status (PDF and MS Word files only).
ST-101 Form
Accepted file types: pdf, Max. file size: 50 MB.
Please upload your completed ST-101 Form (PDF files only). If needed, you can download the form here.
Authorized Signature:*

eRental Under Construction