Bride’s Name ___________________________________________
Address__________________________________________________________
City ______________________ State _______ Zip Code___________
Home Phone ( )_____________ Cell Phone ( ) _________________
Email ________________________________
Groom’s Name ___________________________________________
Address__________________________________________________________
City ______________________ State _______ Zip Code___________
Home Phone ( )_____________ Cell Phone ( ) _________________
Email ________________________________
Billing information should be sent to:
Name ________________________________________________________
Address_________________________________________________________
City ______________________ State _______ Zip Code___________
Home Phone ( )_____________ Cell Phone ( ) _________________
Email ________________________________
Details of the Function
Date of the Event: _______________________ Time: __________AM or PM
Type of Event _________________ Approximate Number of People __________________
Deposit Required YES NO Amount required $________
Room Requested:
Salon A Salon B Salon C Ballroom Rosemont Room Card Room
Other: _____________________
Please list the Rosemont Country Club Sponsor Member (if applicable) __________________________________________________________________________
Banquet Coordinator__________________ Phone Number ________________________
Bakery _____________________________ Phone Number ________________________
Florist ______________________________ Phone Number _________________________
DJ/Band/Music ______________________ Phone Number _________________________
Other ______________________________ Phone Number _________________________
How did you hear about us?
Bridal Show Website Newspaper Referral _______________
Other_____________
I hereby submit my reservation and deposit of $_____ for use of Rosemont Country Club’s banquet facility on ______________.
____________________ _______
Signature of Applicant Date
“Rosemont’s Member for a Day”
____________________ ______
Banquet Manager Date