Clubhouse Rental Form Fill out this form to reserve the Clubhouse: Reservations are not complete until all fees are received. Additional fees may be applicable for those who refuse to comply with the rules and regulations of the clubhouse during it's use. In order to confirm your reservation via the website calendar, the fees must be received within 5 business days of the online request. The fee to rent the clubhouse is $75.00 - made payable to Centennial Pointe. The required security deposit, $200.00 must also be submitted. Submit both checks along with this form to: Centennial Pointe c/o Acri Commercial Realty290 Perry Highway Pittsburgh, PA 15229 A reservation is not complete until the rental fee has been received and the date requested has been confirmed by your property manager. Your Name* First Last Your Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred Email* Enter Email Confirm Email You must update this by calling your property manager should a change occur.Preferred Phone Contact*Date Requested* Date Format: MM slash DD slash YYYY Remember to check the calendar first to see if your requested time is open.Start Time of your request* : HH MM AM PM End Time* : HH MM AM PM Number of Guests you are expecting*Please enter a number from 1 to 177.Rental Agreement*I agree to abide by the rulesBy checking above, the renter acknowledges the following: - Only residents of the Centennial Pointe Community may rent the clubhouse and the key will only be given to stated renter. The rental only includes the clubhouse. Terms Of Reservation* I understand funds & paperwork need to be submitted By checking this box I agree and understand my reservation is not complete until the funds are received and I have been notified that my reservation request is valid.PhoneThis field is for validation purposes and should be left unchanged.