Rental Request Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Requested Date and Start Time *DateTimeNote: Make sure to record the entire time slot you need the room(s)/facility open and available for your use. Times reserved include any decorating, special setup, tear down and clean up done by the user.End Time *Organization/Group Name *non-profit FEIN # (if applicable)Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRequested Rooms *All River RoomsRiver Room A/DRIver Room B/CRiver Room ARiver Room BRiver Room CRiver Room DKitchen (add on)Gallery (add on)Both Cedar Rooms (A&B)One Cedar Romm (A or B)Maple RoomOak RoomNorthview RoomConference Room 207Conference Room 120Conference Room 110Fitness Studio (includes instructor)OtherSee our Reservation Guide for room options and details: If you are unsure which room to reserve, select the "Other" option at the bottom and our Rental Coordinator will suggest one that suits your activity/event.Select Your Applicable Tier *VIP Tier: Business PartnersTier 1: Members & Non-ProfitsTier 2: Rochester Businesses & ResidentsTier 3: Non-Rochester Businesses and ResidentsDescribe the nature of your activity *Expected Attendance *Desired Room Setup *Classroom Style (tables and chairs)Auditorium Style (just chairs)Board Room Style/U-ShapeBanquet Rounds (River Rooms Only)Cafeteria Style (7 foot tables facing each other)Do you plan to use audio/visual capabilities for your event? *YESNOOur audio/visual capabilities require an HDMI connection. To display a presentation onto our screens, you will need to have a laptop with an HDMI port or an adapter that allows the laptop to be connected to an HDMI cord. Check here to confirm you understand this if you plan to use audio/visual *I understandWill food be served at your event? *YESNOIf food will be served - please provide details (catered by a licensed caterer or pre-packaged food, canned or bottled non-alcoholic beverages, coffee, etc...)Minnesota Department of Health required criteria for "potluck" meals: (1) Private events only (no business events, commercial events, or fundraisers) (2) The host must be able to provide a guest list and contact information for all guests so that they can easily be contacted by the Minnesota Health Department if necessary. *My event WILL NOT include this type of food serviceMy event WILL include this type of food serviceOptional AmenitiesExtra Tables (for food, beverages, handouts, etc)MicrophonePodiumSmall WhiteboardTripod EaselAdditional Room Set-up Notes (optional)After your request is received, a 125 LIVE staff member will contact you regarding availability of rooms and times. This form is NOT A CONFIRMATION OF, OR CONTRACT FOR A ROOM RENTAL. *I understand and agreeWhen dates and times are agreed upon, a permit/ estimate will be emailed to you or you can arrange a time to pick it up at the Membership Services desk at 125 LIVE. To secure the rental, the permit/ estimate is required to be initialed, signed and returned to the Rental Coordinator. An invoice will be issued to the renter and payment is due WITHIN 48 HOURS to confirm the reservation unless other arrangements have been made. *I understand and agree125 LIVE requires a credit/ debit card on file to pay for the reservation. Additionally, arrangements may be made to pay via check. Full payment is due WITHIN 48 HOURS after issuance of an invoice to confirm the reservation. Payment may be submitted by clicking on the PAY NOW button on the top right of the invoice sent to you via email. Payment may also be made by calling the Membership Services desk at 507-287-1404 or by making payment in person at 125 Elton Hills DR NW, Rochester, MN 55901. Upon full payment, you will be emailed the payment receipt. *I understand and agree How do you plan to pay for your reservation? *Credit/ Debit CardCheckA valid credit/debit card must be on file for all rentals and will only be charged for damages incurred, assessed to the renter at standard replacement rates. Replacement of any audio/visual or technological equipment not returned to the Membership Services desk will be assessed to the renter at standard replacement rates. *I understand and agreeIt is crucial that you have read and understood the Reservation Policies and Guidelines to prepare for your event and to understand what is not permitted as a host and guest at 125 LIVE. *I have read and understood the Reservation Policies and Guidelines (should I have any questions regarding these policies, I will confer with the Rental Coordinator).Submit