Short-term rental application of premises of Charles University, 
Faculty of Medicine in Hradec Králové 
Date of application:      
ApPLICANT (organisation, institution, business unit; only one entity) 	    	
RESPONSIBLE CONTACT PERSON, PHONE NUMBER., e-mail 
     	
Title of event/activity 	     	
Obligations arising from the application will be assumed by different entity                           	    YES     NO	
Event/activity is part of applicant‘s economic activities	    YES     NO    	
BILLING DATA (If known at the time of applying) 	
Name of the organization	     	
Address	     	
Responsible contact person	     	
IČO / DIČ (Company identification number / Tax identification number)	     	
Bank details	     	
RENTAL DATE 	     	
RENTAL TIME (including time for preparations), in case of rental for more than one day specify for each day separately	     	
REQUIRED PREMISES
List of premises (+ Na Hradě)	     	
Additional requirements

	CLOAKROOM 
CLoakroom attendant 	 YES
 YES	 NO
 NO

	AUDIOVISUAL EQUIPMENT
including an operator	 YES
	 NO
	
	REFRESHMENTS (must be seperated from public space and cannot be provided at VP, EC a SS (Na Hradě building)	 YES
in a room        	 NO	
Entrance/registration/participation fee 	 YES	 NO	
ADVERTISING STANDS (during the event)	 YES 	 NO	
billBOARDS (advertisement during the event)	 YES	 NO	
RENTal OF billBOARDS (up to 14)	 YES, 
quantity     	 NO	

Permission of vice-dean 
 YES    NO		Dean’s price reduction