FACILITY RENTAL INQUIRY FORM

Please fill in the form below completely to find out more information on the availability of the War Memorial, Charles R. Hill Senior Center, and/or the Vinton Municipal Pool. When done, please press the submit button at the bottom of the form to send your information to Mary Beth Layman, Vinton's Special Programs Director.

Please provide the following contact information:

First Name

Last Name

Company/Organization

Department/Division

Street Address

City

State

Zip/Postal Code

Work Phone

Home Phone

FAX Number

E-mail address

Please provide the following information about your event:

Click the box next to the facility/facilities that interest you (click all that apply):

War Memorial
Senior Center
Swimming Pool

Description/Type of Event to be held:

Approximate Number of Guests:

Adults

Children

Date of Event:

Time of Event:

Click this box to receive other information in the future about our facilities.

PLEASE NOTE:
Effective July 1, 2002, HB731 of the 2002 Virginia General Assembly updated the Virginia Freedom of Information Act. Email subscribers receiving information from a public body may, at their request, be exempt from having their email address given out should the email list be requested under the Freedom of Information Act (FOIA). If you would like to have your email address included in requested FOIA distributions, please select Yes below. If you do not want to have your email address included in requested FOIA distributions, please select No below.

Yes - Include my e-mail address in requested FOIA distribution lists.

No - Do not include my e-mail address in requested FOIA distribution lists.

*First Name*
*Last Name*
*Company/Organization*
*Department/Division*
*Street Address*
*City*
*State*
*Zip/Postal Code*
*Work Phone*
*Home Phone*
*FAX Number*
*E-mail address*

FACILITY RENTAL INQUIRY FORM

Copyright © Town of Vinton, Virginia 2006. All Rights Reserved.