ADIC Club Rental Form

Facilities Use Agreement

Please review all rules and regulations regarding your use permit for rental of the Almonte Club House. Failure to comply may result in revocation.

Be precise about your type of activities and times of use. Misrepresentation will result in forfeiture of deposit.

The Almonte District Improvement Club reserves the right to terminate use permit at any time.

  • MM slash DD slash YYYY
  • :
  • :
  • Please provide additional detail if you want to rent on multiple days and times.
  • Please enter a number from 2 to 12.
  • Please enter a number from 1 to 50.

Upon Acceptance of your Rental

Mail three checks to: Deborah Graham
P.O.Box 443
Mill Valley, CA 94942

Three checks:

1. Rental check made payable to ADIC

2. Damages / Security check payable to ADIC ($200)

3.Cleaning check payable to Deborah Graham( $100)