101 S. Shady Shores Rd
Shady Shores, TX 76208
The following items were restored to original condition
$100.00 for up to 6 hours (for Shady Shore residents)
$300.00 for up to 6 hours (for non-residents)
$15.00 per hour thereafter
$50.00 for up to 6 hours; included in Chamber Hall fee if rented together
$15.00 per hour thereafter, up to 3 hours
Scan card may be dropped off with this form in the dropbox (front sidewalk of Town Hall)
or returned with this form during normal business hours.
This includes moving the furniture back to its original location and removal of any and all personal belongings. The event holder guarantees reimbursement to the Town for any damages to the facility, fixtures, furniture, appliances, equipment, etc. caused during the event.
Rental Amount $ ______________________
Deposit Amount $_______________________
Refunded Amount $_______________________
Method of Refund
Payable to: ______________________________
Deductions made for: ____________________
This field is not part of the form submission.
* indicates a required field