Daily Rental Application – Corona

Please fill out the information below to submit your request for a room reservation for our Corona location. Once form has been received someone will contact you to confirm your reservation and availability.

Applicant Information
Contact Person:
Company Relationship/Title:
Name of Company:
Street Address:
City: State: Zip:
Phone Number: Email:
Type of Business/Service:
How Did Your Hear About Via Avalon?:
Reservation Information - NOTE: 48 Hour notice of cancellation is required for all reservations.
Requested Reservation Date: Total Hours (two hour minimum*):
Normal business hours are 8:00am to 5:00pm Monday – Friday; Saturday & Sunday by Reservation Only Daily rentals are during our normal business hours only. Please select: Start Time: End Time:
Is this a Saturday or Sunday Reservation/Appointment Request?
Type of event(s) planned for facility: Number of Guests:
Rental Information
Please select: Private Office4-Person Conference Room8-Person Conference RoomTraining Room (27-36 people)
All rooms come equipped with high speed Internet, wireless, and telephone lines. Our conference rooms have high definition televisions for connecting a laptop via an HDMI connection (no TV programming or VGA connection is available). A computer and projection equipment is available in the Training Room at no additional cost. The projector has both VGA and HDMI connections. Please indicate below if you will need to use the projector and whether you plan to use our computer or bring your own. If you have a special room request, please indicate the name below and we will make every effort to accommodate your request.
Other accommodations requested:
Variable charges will apply - Local/Long Distance outbound calls $.05/$.15 per min., Outbound FAX sending $1/page, Copy Service $.10/copy. All rates and fees are subject to change without notice. Existing reservations rates will be honored.
Documents needed from applicants prior to reservation:
Completed Applicant Information Form (this form) Security deposit equal to 50% of the rental charges A copy of your current driver’s license (submit below)
**Please provide a copy of your driver’s license: (file types accepted- PDF, JPG, JPEG, DOC, DOCX, TIFF)
Please select documents to submit with your application:
Signature
I acknowledge and agree that by typing my name in the box below to electronically sign this form, I am affirming the information requested on the form is true and correct and that I am authorized to submit this application for the person(s) or business(es) listed above and my name below will serve for the purpose of an authorized signature to this application. Accept? (application can not be submitted without checking this box)
Signature (type full name): Date: