FACILITY USE RESERVATION FORM

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Thank you for considering Refill Cafe for your next event! Please complete the reservation form and a staff member will contact you within two (2) business days.

The Refill Jackson Initiative is a 501(c)(3) dedicated to training young adults to enter and stay in the workforce. The Refill Cafe event and catering services are overseen and managed by our Workforce Training Cohort, providing valuable on-the-job experience. Choosing Refill for your events not only offers high-quality service but also contributes to the development of young adults in entrepreneurship, financial literacy, customer service, hospitality, kitchen management, and teamwork. While Refill Jackson is thrilled to extend this opportunity to you, we kindly ask for your understanding that our priority is operating our nonprofit organization, and our staff and members may not be able to accommodate all requested dates and times. We thank you for supporting our mission!

FIRST NAME *

LAST NAME *

EMAIL ADDRESS *

PHONE NUMBER: *

NAME OF ORGANIZATION (IF APPLICABLE)

TYPE OF EVENT *

DATE OF EVENT *

YYYY

IS YOUR EVENT DATE FLEXIBLE? *

Yes

START AND END TIMES OF EVENT (including set-up and clean-up time) *

ESTIMATED NUMBER OF ATTENDEES (max occupancy of 80) *

WILL THE KITCHEN BE USED? *

Yes

PAYMENT STRUCTURE - To lease the venue, the renter agrees to pay (check all that apply) *

$50 security deposit (REQUIRED. Payment of deposit secures your reservation and will be returned after your event or can be deducted from final invoice.)

$30 per hour rental fee (include setup and cleanup time)

$20 flat-rate kitchen use fee

I am a non-profit, faith-based, or community organization and wish to take advantage of a 50% discounted rate. (Does not apply to deposit.)

I am a tax exempt organization

Required

CATERING/FOOD SERVICE *

I will not be serving food and/or drinks at my event.

I plan to bring in my own food and/or drinks.

I plan to have an outside caterer service my event.

Add Coffee/Water Service ($1 per person)

Add Sweet & Salty Snack Service ($5 per person)

Required

TERMS OF FACILITY USE

- Facility use is limited to the downstairs portion of Refill only (the cafe, kitchen, bathrooms, front porch and parking lot).

- No alcohol, drugs, or weapons allowed on premises.

- A staff member will be responsible for unlocking and locking Refill on the day of the event. Renters are required to remain on the premises until a staff member arrives to lock the facility after the event.

- Please call the staff cell phone if any issues arise - 601.540.7231

- Security for events is not provided by Refill Jackson Initiative.

- Please do not adjust the thermostat.

- If the kitchen will be utilized for your event, please familiarize yourself with our kitchen prior to your event. We are happy to arrange for a guided tour. Refill does not provide plates, cups, utensils, or paper goods unless we are catering your event.

- If audio/visual is needed for your event, please inform us prior to your event date to ensure we can accommodate your needs.

- It is the renter's responsibility to return any used items to their appropriate locations, ensure the kitchen is cleaned (if used), and remove all trash and personal belongings after the event. Failure to comply may result in the denial of future facility usage and forfeiture of $50 security deposit.

I agree with the above terms.

Submit

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