Chair / Table Checkout Request

You must complete this form to reserve any tables or chairs. You may pick schedule your pick up and return with Tribal Staff. Funeral/Anniversary services and scheduled tribal meetings will take precedence.

Chairs and Tables Check Out: Please return tables and chairs in clean condition. You may schedule a pickup time with the Tribal Office during office hours.

Date of Checkout(Required)

Date of Return(Required)

How many tables (8 skinny, 20 regular available)

How many chairs (60 available)

I understand that by signing below, I am fully responsible for repairs or damages to the items I am requesting to check out and that the amount to repair or replace the items damaged may be deducted from my State Revenue Sharing or Per Capita distribution. A payment schedule may be agreed upon.

Signature of Requestor(Required)

Date(Required)

Tribal ID #(Required)

OFFICE USE ONLY

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Date

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Comments

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

Contact Information

Cahuilla Band of Indians
52701 US Hwy 371
Anza, CA 92539

Phone | (951) 763-5549
Fax | (951) 763-2808

Chair / Table Checkout Request

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