Date:______________________________________________
TO: FROM:
The Bell Tower on 34th _________________________________________
901 West 34th _________________________________________
Houston, TX 77018 _________________________________________
You are hereby authorized to release and rebook the space of our previously scheduled event of:
The scheduled event date: _________________________________________
The scheduled event time: _________________________________________
I understand the cancellation policy, as per our signed agreements, and also understand that The Bell Tower on 34this not obligated to refund any payments.
Agreed to and unconditionally accepted on this _______________________________ day of _______________________.
Client/Lessee: The Bell Tower on 34th
Signed by: _________________________________________ _________________________________________
Printed name: ______________________________________ _________________________________________
Reason for Cancellation:
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
OFFICE USE ONLY: All Bell Tower on 34th staff and/or rentals and additional vendors have been notified.
Representative: _________________________________________ Date: _________________________________________