Facility Rental Inquiry FormGroup NameGroup Contact* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*FaxEmail* Type of Activity*MeetingWeddingBanquetRetreatPreferred Date(s) and arrival/departure times*Alternate Date(s)*Estimated Attendance*Please enter a number from 12 to 234.Meeting - 12-98 Capacity Banquet/Wedding/Social event - maximum capacity 98 Theatre occupancy - maximum capacity 234Banquet Room(s) Requested*Number of Overnight Guests*Please enter a number less than or equal to 90.enter 0 if no overnight guests)Food Service Requested* Breakfast Lunch Dinner Snacks All day coffee No food service requested (Note:No outside food allowed)(check all that apply)Breakfast days and times*Please enter date and times for each mealLunch days and times*Please enter date and times for each mealDinner days and times*Please enter date and times for each mealSnacks days and times*Snack day and timesAll day coffee days and times*Please enter dates and times requested for ADC (please note coffee service pricing includes service from 8am-5pm. If additional times are requested extra charges may apply)AV Requested* Easel Projector Laptop PA System 4x6 white board Upright Piano Baby Grand Piano No equipment requestedEasel*Please provide dates requestedProjector*Please provide dates requestedLaptop*Please provide dates requestedP.A. System*Please provide dates requested (note: P.A. System will only be approved for use in Eagleview, Rehearsal Hall or Theatre)4x6 White Board*Please provide dates requestedUpright Piano*Please provide dates requested (note: upright piano will only be approved for use in Eagleview, Rehearsal Hall or Theatre)How did you find out about Dumas Bay Centre?*Baby Grand Piano*Please provide dates requested (note: baby grand piano will only be approved for use in the Theatre)CommentsPlease include specific rental details or requests in this sectionCommentsThis field is for validation purposes and should be left unchanged.