AL HUDA ISLAMIC CENTER OF INDIANA - Equipment Rental Application

Your Information

Please provide information about yourself / applicant.

First Name *

Last Name *

Email address *

Phone number *

Address type *

Street Name *

Unit #

City *

State *

Postal code *

Relationship to Al Huda Foundation *

Equipment for Rental

Quantity

Specify how many, e.g. 100 chairs & 14 tables

Date of Event

mm/dd/yyyy

Pick up / Return Dates *

For Example:

Pick-up Tuesday 5/3/22 at 10am.

Drop-off Wed 5/4/22 at 5pm

Payment Info

1. Quick pay with Zelle: Alhudatreasurer1@gmail.com Please write event name & date on memo. 2. Cash or check on the day of the event.

Today's Date *

mm/dd/yyyy

Type Name Below as Signature *

*

Send me a copy of my responses

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