House Rental Application Form House Rental Application Form This form will be mailed to the MVYC Board of Trustees for action. It will be your formal request for rental of the Club House.Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Home Phone*Work/Cell Phone*Date of rental* Start Time* : HH MM AM PM End Time* : HH MM AM PM Reason For Rental*Will this be a stand-up event?*Select oneYesNoLimited to 150 guestsWill this be a sit-down event?*Select OneYesNoLimited to 100 guestsNumber of adults attending?*Please enter a value between 0 and 150.Number of children attending?*Please enter a value between 0 and 150.Total Guests*Will alcohol be served?*Select OneYesNoWill you, the renter, be there at all times?*Select OneYesNoWill this be a catered event?*Select OneYesNoProvide caterer's name*Will outside equipment be used?*Select OneYesNoPlease review and be familiar with the MVYC Clubhouse Rental Agreement before making your formal request. You can find the details of the agreement here. (will open in a new window) You must submit a check made out to “Mount Vernon Yacht Club” for $250 (for 49 or fewer attendees ); $500 (50 to 74 attendees); or $750 (75 to 150 attendees) to MVYC (c/o House Rental) . All checks must be FROM the MVYC MEMBER. Requests will be presented to the Board of Trustees for consideration and. follow on contact will be made upon approval of your request. A SEPARATE CHECK TO MOUNT VERNON YACHT CLUB IS REQUIRED FOR $500. To receive your deposit check back, you must complete the items on the "Club House Rental Checkout List", fill out and sign the list, and drop it in the club mailbox or send to email@example.com. Please note that a MVYC representative will inspect the clubhouse to confirm tasks have been completed and no damage was done.. Make payment and deposit to: Mount Vernon Yacht Club Attn: HOUSE RENTAL 4817 Tarpon Lane Alexandria, VA 22309 Kevin Facklam Phone: Email: firstname.lastname@example.org Certify & Submit* I have read and understand the MVYC Rental Agreement and agree to adhere to all mentioned items. * I understand that my rental request will not be approved until payment and deposit is received. This iframe contains the logic required to handle AJAX powered Gravity Forms.