Event Space Rental Form

If you are interested in reserving any of our event spaces, please use the form below or contact June Henley at (845) 562-6940 ext. 109. Read more about our event spaces.

*(denotes required field)

First Name:*

Last Name:*

E-Mail Address:*

E-Mail Address again:*

Please enter your E-mail Address a second time.

Company:

Phone Number:*

Address

Street:

City:

State:

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Zip:

Event Details

Event Date:*

Start Time:

End Time:

Event Space:

Please Select OneAnn Street GalleryThe Cornerstone Computer LabThe Cornerstone LibraryThe Cornerstone Multi Purpose RoomRitz Theater LobbyThe Green Room

Occasion:

Anticipated Number of Guests:

Event Setup (Are there any special requests?):

Do you require use of a kitchen?

Yes No

Do you have Audio/Visual/Electrical needs?

Will you be using any external vendors (Please include their roles, e.g., caterers)?

Permits needed (City of Newburgh or some other municipality)?

Yes No

Any additional comments?

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