Name of Event Coordinator *

First Name

Last Name

Phone *

(###)

###

####

Organization Type *

Student Org

Community Group

Corporate/Professional Org

Prefered Date *

MM

DD

YYYY

Second Choice Date

MM

DD

YYYY

Start Time *

Hour

Minute

Second

AM PM

End Time *

Hour

Minute

Second

AM PM

How would you like the room to be setup? *

Standard Cafe

Movie Viewing/Presentation

Dinning

Performance/Stage

A/V Needs *

None

Video Projector (Please specify HDMI or VGA on comments section)

Sound Systems (please specify #mics/channels on comments section)

Beverage Service *

Option 1 = Open Café Bar - Organization pays. Menu options can be limited to fit your budgeted amount upon request. Option 2 = Choose a selection of food and drinks from our catering menu to be available in self-serve buffet during your event. Option 3 = Open Café Bar - Guests order and pay individually.

Open Café Bar

Carafe Choice (please email order form)

Guests are responsible for individual orders

Cafe Rental Rates: *

Rental fee support staff, equipment and missional programing at the Freedom Café. For Events Outside Cafe Operating Hours Rates are: $35/hr for student orgs $75/hr for community groups. $125/hr for corporate events +$75 for a sound tech For Events During Cafe Operating Hours: (Walk in’s are always welcome - tables subject to availability.) Reserve a table for up to 6 guests: $15/hr for student groups - Includes $10 F&B Credit $30/hr for all others - Includes $20 F&B Credit

I understand that an invoice will be prepared based on these rates and must be paid in order to secure my event date

Do you agree to abide by our equitable use policy? *

The Freedom Café subscribes to the equitable use of its facilities regardless of the beliefs or affiliations of the individuals or groups requesting use. Use of the room does not constitute an endorsement by the Freedom Café of an organization’s policies, beliefs, or presentations while in the café space. Groups may identify the Freedom Café including the use of its logo and provide its address in publicity, however groups may not imply in their advertising or during meetings that the Café sponsors or supports the meeting, group, or presentation without prior written permission from the Director.  Do you agree to abide by our equitable use policy?

Yes

No