INTERNAL USE ONLY: CHRISTMAS HALL RENTAL UPPER & LOWER HALL FORMS

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INTERNAL USE ONLY: Customer: Date(s) Reserved: Date Signed: Deposit 2-Week Review Emailed Invoice w/ Attachments Payment Photos Posted 2018-2019 CHRISTMAS HALL RENTAL UPPER & LOWER HALL FORMS We have: 16 Rounds 60 (seats 8) ;Rounds 48" (seats 5); 5 Longs 8' (seats 8); 3 Longs (6'); 2 Longs (4') BAR: If a bar serving alcohol, provided by either the user or the Shrine Centre, is to be available during the event the user must obtain the appropriate SLGA liquor permit and the Shrine Centre must provide a minimum two bartenders; also one Busser is required to clean tables for the Bar. Shrine Centre bartenders are required for all events. All recycling from Customer Bar stays with the Shrine. Homemade wine is not allowed. Customers must go through David before placing liquor order for "Customer Bar". SETUP: It shall be the responsibility of the Customer, with suggestions from the Shrine Centre personnel, to determine the final configuration of the table layout. Renter is responsible for setting up tables and chairs or Shrine will provide setup for a fee. If Customer opts to setup additional tables, it is their responsibility to ensure the tables are securely locked to avoid tipping. When moving the additional tables, the tables are to be lifted and not dragged across the floor. Chairs can be moved in stacks of 8 on the dolly. Shriner speakers are to be used only for speeches from the podium and wireless mic - not karaoke by DJ or bands. All fire exits must remain clear at all times with no encumbrances. DECORATIONS: No decorations shall be taped or tacked to any surfaces. No confetti, sequins or helium balloons. ONLY flamelesss candles are allowed. Table cloths, napkins and chair covers are NOT available from the Shrine Centre - Customer is responsible to make arrangements. All decorations, linens etc are to be removed from the Shrine Centre at the conclusion of the event unless prior arrangements have been made with the Shrine Centre office. Final approval for all decorations is required by David Paul, Recorder. KITCHEN USAGE: If kitchen facilities are to be used, in any manner, the Shrine office must approve the proposed catering arrangements. Food shall NOT be prepared on site. The kitchen may be used for a serving area only and on the day of the event. Coolers are available for storage. Dishes and cutlery are available for use at the indicated rate below. If the Shrine sets up dishes and cutlery, please refer to cost on next page. One Busser is required when using our dishes and wine glasses. Used dishes, cutlery, etc shall be returned to the kitchen and left in appropriate tubs for washing by the Shrine Centre. No outside wine glasses are permitted. Due to breakage and safety concerns, all wine glasses and wine bottles will be removed from the tables at 11pm. SECURITY: Security, provided by the Shrine Centre, shall be required during the setup/decorating time, during the full duration of the event and subsequent take down time. The user understands this facility is not handicap accessible and acknowledges the same by signing this form at this location. Sign: Shrine Club bartenders are required for all events with alcohol. Renters shall provide documentation details 2 weeks before event date confirming liability in the amount of minimum two million dollars, WA WA Temple AAONMS as additional insured. By signing this, I understand that I take full responsibility. Signed by: Date: Page 1 of 5 Version Sept 2017 FORM F540.09

Drinks: $4.75 Premiere Drinks: $5.75 (Prices are subject to change without notice) Upper & Lower Hall Rate includes PA system and Podium Shrine bartenders are required for all events with alcohol. OPTION 1 - Shrine Bar CHRISTMAS PARTIES ONLY Sunday to Friday bookings Upper Hall w/ Shrine Bar $550 Lower Hall w/ Shrine Bar $375 Corkage, Bartender, and Insurance required* *Bartenders (min. 3 hours) $ 20 each/hr *Security (min. 3 hours) $ 20 each/hr *Ticket seller (min. 3 hours) $15 each/hr *Bussing tables and/or Dishwashing Additional $ 20/hr *Corkage per No. of pp $2.75 each (Corkage includes ice, pop, orange juice and plastic cups) Note: Clamato, Cranberry Juice, Limes, and Lemons Customer Additional costs, if requested: Ambient Lighting (UPPER HALL ONLY) $100 Wine (Serving to Guests & Head Table) $ 40 flat fee Wine Glass usage $.50 each Table and Chair setup (Mandatory by Shrine Staff) $ 85 85.00 Table & Chair tear down includes removal of Decorations, Linens & Chair Covers $120 Kitchen Usage and storage coolers Only $ 45 Coffee/Tea Urn (incl. coffee/cream/sugar/cups/stir sticks) $ 65 Christmas Punch (Fruit) non-alcoholic (Max 3 bowls) $120 Dishes & Cutlery usage (forks/knives/dinner plates rental only) $ 85 Dishes & Cutlery, setup on tables $ 60 Screen & Projector $130 Large Screen and New Projector (lower hall) $160 Screen only $ 35 Pool Table Rental (lower hall) $ included Amount Due a time of booking - A $300.00 damage deposit is required at the date of booking. If booking Pool Table, damage deposit is additional $50. This amount will be applied towards the total invoice. CANCELLATION: A $100 of this deposit is refundable if the booking is cancelled a minimum 120 days prior to the date booked. If the cost of damages exceeds the deposit residual the user will be billed for such damages. MERRY CHRISTMAS FROM WA WA SHRINE Page 2 of 5 Version Sept 2017 FORM F540.09

(Prices are subject to change without notice) Lower Hall Rate includes PA system and Podium Shrine bartenders are required for all events with alcohol. Customer must provide single roll tickets and ask David Paul about Float amount. OPTION 2 - Customer Bar CHRISTMAS PARTIES ONLY Sunday to Friday bookings Upper Hall w/ Shrine Bar $695 Lower Hall w/ Shrine Bar $475 Corkage, Bartender, and Insurance required* *Bartenders (min. 3 hours) $ 20 each/hr *Security (min. 3 hours) $ 20 each/hr *Ticket seller (min. 3 hours) $15 each/hr *Corkage per No. of pp $3.00 each (Corkage includes ice, pop, orange juice and plastic cups) Note: Clamato, Cranberry Juice, Limes, and Lemons Customer Additional costs, if requested: Ambient Lighting (UPPER HALL ONLY) $100 Wine (Serving to Guests & Head Table) $ 40 flat fee Wine Glass usage $.50 each Table and Chair setup (Mandatory by Shrine Staff) $ 85 85.00 Table & Chair tear down includes removal of Decorations, Linens & Chair Covers $120 Kitchen Usage and storage coolers Only $ 45 Bussing tables and/or Dishwashing Additional $ 20/hr Coffee/Tea Urn (not incl. coffee/cream/sugar/cups/stir sticks) $ 40 Christmas Punch (Fruit) non-alcoholic (Max 3 bowls) $120 Dishes & Cutlery usage (forks/knives/dinner plates rental only) $ 85 Dishes & Cutlery, setup on tables $ 50 Screen & Projector $130 Large Screen and New Projector (lower hall) $160 Screen only $ 35 Pool Table Rental (lower hall) $ 65 Amount Due a time of booking - A $150.00 damage deposit is required at the date of booking. If booking Pool Table, damage deposit is additional $50. This amount will be applied towards the total invoice. CANCELLATION: A $100 of this deposit is refundable if the booking is cancelled a minimum 120 days prior to the date booked. If the cost of damages exceeds the deposit residual the user will be billed for such damages. Page 3 of 5 Version Sept 2017 FORM F540.09

Date Of The Event : Function: Time start: Time End: Number of people: Setup time: Tear down time: Notes: Contact Name: Address: City: Prov: Postal Code: Phone: Cell: Email: User Signature Date By signing the user agrees to all conditions and guidelines stated above. Copy of Hall Insurance on file Copy of Liquor License on file (*required information below) *Credit Card required on file for damages or Full Deposit: Deposit Amount: $ Cheque: Cash: Visa: MasterCard: Card Number Expiry date: / Three Digit Name on Card: *Drivers License Name and Number: Office Signature: *Balance of your bill will be applied to your credit card. Total bookings must be paid upon completion. There are no terms allowed on any bookings. Initial agree to above. Page 4 of 5 Version Sept 2017 FORM F540.09

WaWa Shrine Centre USER GROUP RATING SCHEDULE 2,000,000 Commercial General Liability Rates effective March 20, 2017 Type of Event # of Participants Premium No Alcohol With Alcohol Receptions, weddings, anniversary celebrations, etc. 1 25 26 100 $35 $60 $60 $110 101 250 $85 $160 251-310 $110 $210 By signing Renters confirm liability in the amount of minimum two million Dollars, WA WA Temple AAONMS as additional insured. By signing this you take full responsibility. Signed by: Dated: You can t put a price on what we do for children so we do it for nothing! Page 5 of 5 Version Sept 2017 FORM F540.09