Palm Room Palm Room Rental Form Today's Date MM slash DD slash YYYY Name(Required) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CELL PHONE NUMBER(Required) EMAIL(Required) Event Date(Required) MM slash DD slash YYYY $75 PER HOUR (9/1-5/15) - Please indicate number of guests below (MAX 40)Please enter a number from 10 to 40.
