Skrabl Chamber Organ Reservation Form

Before filling out this form please check with Epiphany's Music Director, Dr. Jinsun Cho to confirm availability of the instrument and permission for its use. Please email jcho@epiphanydc.org.

Group or Person Wishing to Use the Skrabl Chamber Organ

Name of Organization(Required)

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Primary Contact:(Required)

First Last

Primary Contact Email(Required)

Primary Contact Main Phone

Primary Contact Mobile Phone

Different Billing Contact?

If so, please check this box and enter the information

Billing Contact

Billing Contact Name - Different from Primary:

First Last

Billing Contact Email:

Billing Contact Main Phone:

Billing Contact Mobile Phone:

Billing Address - Different from Primary:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dates of Organ Use

Start Date - Year(Required)

Month(Required)

Day(Required)

Day(Required)

Day(Required)

Day(Required)

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StartYearLeap YN

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Actual Start Day

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Start Month Type

End Date - Year(Required)

Month(Required)

Day(Required)

Day(Required)

Day(Required)

Day(Required)

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EndYearLeap YN

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Actual End Day

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DateCheck

Checks that Start date isn't after End date

Please Check Your Dates: Be sure your Start Date isn't after your End Date. Also, this form only allows rentals for up to 28 days. Please contact Epiphany's music director if you wish to rent the organ for longer.

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DurationCalc

Hidden

Number of Rental Days

Charges

The Base Rate listed below covers up to four consecutive days' use of the organ. This is the minimum charge. After the first 4 days, the Successive Daily Rate (below) applies to each additional consecutive day.

Please Note: The Church of the Epiphany reserves the right to correct inadvertent errors in calculation, or to adjust the total charges to reflect circumstances not covered herein, or agreed to separately. An invoice for the total organ use charge will be issued separately.

Organ Rental Rates:

Base Rate

Minimum charge, covering up to 4 consecutive days

Successive Daily Rate

Daily rate starting on Day 5

Your Organ Use Fee

Based on the dates you have listed above

Other Agreed Fees ~ If Any

If you have agreed separately with Epiphany to pay for something not covered on this form, please enter the agreed price here. Otherwise, please leave this blank:

Other Fees - Explanation/Notes

Please explain any Other Agreed Fees you have entered

Your Total

Deposit and Payments

A non-refundable deposit of $100 is required when the reservation is confirmed. The remaining balance is due 30 days before date of the organ's use.

The deposit or full payment can be made online here, or by check made payable to The Church of the Epiphany, with "Skrabl Organ Rental" on the Memo line.

Fine Print

Transport: If you are booking the instrument for use outside the church please contact Jim Davis at sonic.architect@verizon.net or 703 371-7930 (cell) as early as possible to arrange for moving the organ. He is solely authorized and responsible for the organ’s transit and holds insurance coverage while it is in his care. His fees – paid directly to him in advance of the rental – are subject to change, but are currently: $300 each way within the DC/MD/VA area + $160 tuning in situ.

Cancellation Information: In case of cancellation seven days or less prior to the reserved start date, the entire fee will be forfeited (or due, to the extent not yet paid). There is no penalty for cancellation due to severe weather or natural disaster; or if, for any emergency, the church is unable to make the organ available for your event. In such a case, the entire fee will be refunded, and you will be given an opportunity to reschedule your organ rental. Note: the church follows the US Government's weather cancellation decisions.

It is the responsibility of the organization using the organ to assure that it is protected from damage.

The signatory below agrees to have read and to understand the policies contained herein, and agrees to abide by them.

Signatory Name(Required)

First Last

Signature(Required)

Today's Date(Required)

Comments

This field is for validation purposes and should be left unchanged.