Rental Agreement Form Date of Rental (required) Type of Activity (required) Estimated Attendance (required) Rental Time: Start - End (required) Checks Payable: Richmond Lenox EMS / Memo: Senior Center Rental Mail Checks to: Richmond Lenox EMS Attn: Senior Center Rental 34505 32 Mile Road Richmond, MI 48062 Please sign this agreement and return with deposit I HAVE RECEIVED AND UNDERSTAND THE RENTAL AGREEMENT AND AGREE WITH THE NOTED TERMS AND CONDITIONS. Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures Phone Number (required) Alt. Phone Number Address (required) City, State, Zip (required) There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
