KITCHEN RESERVATION FORM

Company Name ________________________________________________________________

Owner________________________________________________________________________

Mailing Address________________________________________________________________

City____________________________ State_____________ ZIP_______________________

Phone Number___________________________ Cell Number___________________________

Food Product _________________________________________________________________

Hours Expected to Use Kitchen____________________________________________________

Days and Hours Preferred_________________________________________________________

I HAVE READ THE “INFORMATION AND POLICIES” SHEET PROVIDED TO ME AND UNDERSTAND AND AGREE TO THE POLICIES, TERMS AND CONDITIONS STATED THEREIN.

__________________________________________ ______________________
User Signature Date


_________________________________________ ______________________
Friends for Waialua Town Date

DO NOT WRITE BELOW THIS LINE
FOR USE BY FRIENDS OF WAIALUA TOWN

_____ Monthly Vendor

_____ Occasional User

Approved Use Fee $_____________ Cooler Storage $____________

Current and valid Certificate of Insurance on file with FWT: Y or N