3.5 Application toRent AE Equipment /

Please fill out this form and deliver to John Balich, AE Caretaker 269.369.7687

DATE/TIME OF EQUIPMENT RENTAL ______

Equipment Rental Fee per day (minimum 1 day)
PA / $10 / 2 large powered Mackie speakers, cables, speaker stands
$10 / 16-channel Mackie mixing board, snake
$10 / 2 Peavy monitors, Peavy monitor driver, cables
$10 / 6-channel Peavy amplifier,
$10 / 2 Bag End speakers, cables, speaker stands
$10 / Fender 300 6-channel PA amplifier + speakers, cables, speaker stands
Recording/Audio / $20 / H4n audio recorder
$10 / microphone, stand, cable
$10 / Musical Instrument amplifiers
Furniture / $5 / 6-foot table
$15 / 1-10 chairs
$25 / More than 10 chairs
$10 / 10 x 10 tent, ballasts, siding
OTHER

TOTAL RENTAL COST $ ______

Payment is to be made in advance by: (a) cash, or check made out to the Three Oaks Arts & Education Center and delivered to John Balich; or, (b) byPayPal using the AE website.

Reduced rates are available. To apply, please fill out a Rent Rebate/Waiver Application.

Release From Liability And Indemnification: In consideration for, and as a condition of, the use of this equipment, the rentershall:

  • return the rented item(s) within two days
  • hold harmless the Three Oaks A&E Center and the School of American Music (SAM), its officers, agents and employees, against any claims, demands, damages, costs and liabilities, resulting from or caused by the teacher/presenter’s use of the facility;
  • defend, at its sole expense, any suits, actions, or legal proceedings that may arise from or relate to the teacher/presenter’s use of the facility.
  • pay for any damage, or loss by theft of any property of A&E Center and SAM, done or caused by the renter, its agents and invitees.

AGREED:

RenterSignature:

Printed name:

Date:

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