Text Box: C.L. EDWARDS, INC. CONFERENCE/MEETING ROOM RESERVATION FORM Phone 678-817-9751 Fax 678-623-3448 Note: Bookings must be made 2 weeks in advance of event. Any cancellations by nonmembers must occur at least 1 week prior to event in order to receive refund. Any cancellation by members must occur at least 1 week prior to event in order to have hours credited back to member account. Member hours will not be carried over to subsequent months. For nonmembers- A credit card must be used to guarantee facility in order to insure conference room and equipment are maintained in good order. For members—a $700.00 deposit will be held on your credit card until the end of your membership period. There will be a transacttion fee added to each credit card transaction. Note—User will be held liable for damages . Additional damage costs may be applied to your credit card. Please print form, complete, sign. C.L. Edwards, Inc. will not be responsible for tenant property or injury to tenant. This is a non-smoking facility. We conduct video monitoring in public areas of premises. User access code will be made active 30 minutes prior to event. For members only(Conference room must be vacuumed, user belongings removed, dry erase board cleaned, bathroom cleaned, vinyl covers on chairs cleaned, tables/chairs cleared and properly placed, blinds closed, and door must be locked no later than 1 hours following event to Insure deposit refund). Hours exceeding booked hours will be billed at 4 times your current rate and a $200.00 penalty will be applied against your deposit. A $ 50.00 per trip charge will be billed each time conference room door is left unlocked after an event. (1 hour is allowed after each event for clean-up) . We accept Visa, Mastercard, American Express, and Discover. Memberships are nontransferable. For membership availability please view our member calendars from Conference Centers page at www.cledwards.com. APPLICATION FOR MEMBERSHIP Yes / No (Circle one) _____MEMBER (60/ month 0 17 people) / (100/ month 18 to40 people ) (Circle one) _____NONMEMBER (180 /day - 6 hrs 0 to 17 people) / (200/day - 6 hrs 18 to 40 people) (Circle one) NAME ___________________________ Social security # (members only)______________________________ EMAIL ____________________________PHONE NUMBER __________________ #OF PEOPLE__________ Party Name __________________________________ Nonmembers Section Office use Room Cost______ = Total_______ Start Date_________Start Time____ End Time_____End Date __________Start Time ___ End Time____ Members Section Office use Room Cost_______+700 deposit = Member Week # requested______ Day requested________ Time Slot requested __________________ Office Use Only (Complete for member applications only) Week # given_____ Day given_________ Time Slot given_________ Effective date_________ End date______ Yearly memberships must be paid one year in advance. Memberships must be guaranteed on a credit card. Member conference Members will be given a specific day and time slot each month for meetings. If day is missed, member must reschedule based on room availability or lose hours. ____________________ _______ Please attach a copy of drivers license next page Signature Date

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