THE NEELY HOUSE
RENTAL APPLICATION
575 South Royal Street, Jackson, TN 38301 – Physical Address
P. O. Box 2904, Jackson, TN 38302 – Mailing Address
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731-571-5145/731-554-2079
731-427-4443 fax
Today’s Date _________________________________________________________________
Name of Group ________________________________________________________________
Primary Responsible Person ______________________________________________________
Address _____________________________________________________________________
Phone __________________________ Additional Phone ______________________________
Secondary Responsible Person ___________________________________________________
Phone _________________________ Additional Phone ______________________________
Date of Event __________________________________________________________________
Time of Event (including setup and cleanup _________________________________________
Expected Attendance ___________________________________________________________
Type of Event (Reception, Meeting, Party, Reunion, etc.)_______________________________
All information given on this application is true to the best of my knowledge.
________________________________ ___________
Signature Date
Rental Deposit of $__________ is non-refundable and due date event is booked.
$100 Rooms 1, 2, 4 and Murphy Room
$300 Full Lower Level Rental/Dining Room Rental