AT MOUNT LEBANON
1150 BOWER HILL ROAD
PITTSBURGH, PA. 15243-0986
412-279-0100

Application For Use Of Party Room *Bldg 1____ *Bldg 2____

I wish to reserve the Party Room of the _____________________________Building (Name)

on_____________________, 20__ commencing at___________________ for the purpose:

________________________________________________________________________________

________________________________________________________________________________



I expect approximately_______________ People will be in attendance.

I will need________________ extra chairs.

I will submit a guest list to the Gatehouse to expedite entry.

I hereby deposit a non-returnable fee of $25.00 for rental of the Party Room and an additional $25.00 which I understand will be returned in the room is left in compliance with the Party Room checklist. I will be abide by the Rules and Regulations as listed on this application.

I acknowledge that I have received a copy of the "Rules and Regulations for Use of the Party Rooms" and will abide by them as written.



_____________________________________
Signature


Date: _______________________________________ __________________
Unit #Phone #



RETURN THIS COPY TO THE BOWER HILL AT MT. LEBANON CO. OFFICE


*Party Room #1 (Neville) seats 40 people (28 at the tables and 12 at the sofas).
Up to 20 extra chairs are available.

*Party Room #2 (Brackenridge) seats 33 people (24 at the tables and 9 on the sofas).
Up to 20 extra chairs are available


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