Polk State College agrees to provide facilities on the campus of
FACILITIES CONTRACT
to for
(User/Sponsoring Organization) (Name of Event)
For the following time period(s):
Date:
Time: from to
toTime: fromDate:
Date: Time: from to Date:
Time: from to
Date: Time: from to Date:
Time: from to
Estimated charges for services involved are:
location #1
= $
3. Personnel Costs:
a. type hours @
per hour = $
per hour = $hours @
per hour = $hours @typeb.
per hour = $hours @typec.
per hour = $hours @typed.
per hour = $hours @typee.
per hour = $hours @typef.
4. Other Charges: = $
Total Estimated Expense = $
A deposit of $
is required to reserve these facilities and must accompany the signed contract. Reserved facilities will be released if signed
contract and necessary deposit are not received by the College on or before
(date).
The conditions on the next page are binding to Polk State College and to the User. Descriptions of personnel, equipment and maintenance needs will be
made on a Facilities Order to be completed by the User and approved by the Cultural Events Office.
SIGNATURES:
User Representative Digital Signature
Date
Date
Polk State Representative Digital Signature
Address City/State/Zip
Email Address Phone Fax
TO THE USER:
Or return to:
Cultural Events/Polk State College 999 Avenue H NE Winter Haven, FL 33881-4299
By typing your name below, you are signing this document electronically; and, furthermore, you agree that this electronic signature is the legal
equivalent of your manual signature on this document.
in building/room(s)
1. Space Rental:
per hour = $hours @location #2
2. Cleaning Charges:
