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Codman Community Farms, Inc. 58 Codman Road, Lincoln, MA 01773 781-259-0456
RENTAL APPLICATION
Name of applicant: _______________________________________________________________
Address: _______________________________________________________________________
Telephone: __________________________ Email: ____________________________________
Member: yes_________ no __________
Date of function: _______________ Description: _______________________________________
Time: from ________ to ________ Number attending: ________________________
Barn 'C' _____ Office Area _____
using Codman tables yes___ no___ using Codman chairs yes___ no___
All caterers must file a Certificate of Insurance with CCF.
Caterer: _______________________________________________ telephone#________________
Caterer's address: ________________________________________________________________
Bartender ______________________________________________ telephone#_______________
Bartender address: ______________________________________________________________
Equipment or rental company: ______________________________________________________
Company address: ________________________telephone: ____________________________
Music provider: __________________________________________telephone #_____________
Music provider address: _________________________________________________________
I ______________________________________ have read all the terms and conditions for rental and agree to meet the requirements. Further, I indemnify and hold the Town of Lincoln and Codman Community Farms, Inc. harmless and against any damages, claims or expenses (including attorney fees and court coast) in connection with my use of the premises or from any violation of the terms of this agreement.
Applicant signature: ____________________________________ Date: __________________
CCF approved by: ______________________________________ Date: __________________
Deposit received (50%): $______ Date: _______ Balance due 1 month: $ ________________
Please make checks payable to: Codman Community Farms, Inc. Mail to: 58 Codman Road, Lincoln, MA 01773
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Codman Community Farms
Keep Farming Alive in Lincoln, Massachusetts and Open to the Public.
Visit us at 58 Codman Road, Lincoln, MA 01773
Phone: 781-259-0456 Fax: 781-259-1326
Email: codmanfarm@comcast.net
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