Chair/Table Request

Please fill out the form below and click "submit".
A member will contact you as soon as possible about your request.

Name:

Phone:

Email Address:

Street Address:

City, State, Zip:


Number Chairs Requested:

Number Tables Requested:

Occasion:

Address items will be used at:


Pick Up Date (MM/DD/YY):
Pick Up Time:
Return Date (MM/DD/YY):
Return Time:

ALL FIELDS REQUIRED
Chairs and tables are lent without charge. Borrower is responsible for any loss or damage.
Borrower is responsible for pickup and return of all items.
Donations gratefully accepted.