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The Corporaton of the City of Port Coquitiam
2580 Shanghnsssy Street

in full IN PERSON at the time of booking. (cash or cheque made in
favour of the City of Port Coquitlam).

Failure to comply with this will result in a cancellation.

CANCELLATION:

Cancellation nvuase be made 30 da in advance of the rentu! date. Otherwise 30% of the
rental will be chazgad. Cancellations not made st least fomy-cigit hours in advemos of the
event @ill rogult in the total umount of the rental being changed.

y change of date or time will be allowed, thereafter thy concellation
ba im effect as above. ;

The renter ia responsible for leaving the Council Chambers the way they found it.

The City of Port Coquitlam, its servams, agents, employees or workinen assumes no
ibiliry for costs, losts, damages, procesdinge, actions, claims and expenses
sustained or caused by the renters occupation of the premises.

BRIDE:

(name)

(addnesa) (address)

(telephone number residence) (telephone number residence)

(telephone number business) (telephone number business)

Wedding Dats: Time:

Approx. number of people attending: __. Rehwrsal Required: YES( ) NO(
Name of renter:
Address:
Phone Number:

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Dated et Port Coquitlam City Hall this