TO THE ADMISSIONS COMMITTEE OF THE ASBURY CAMP MEETING CORPORATION

Dirk Nims, Chairman, 21 Essex Ave., S. Hamilton, MA 01982

Phone # 978-468-3015

I wish to rent my cottage at ______________________________ , Asbury Grove, So. Hamilton, Massachusetts, to

________________________________________ whose address is

__________________________________________________________.

I understand that I will be held responsible for my tenants in the event of any problems regarding the Rules and Regulations of Asbury Grove.

Signed ________________________________________ Date ____________________

Tenant’s Name:____________________________________Telephone:________________

Address:_________________________________________________________________

E-Mail Address _________________________________________________________

Occupation:_________________________Employed by:____________________________

Church membership:_______________________________________________________

Church activities:___________________ _____________________________________

Pastor’s Name:__________________ ______________Telephone:_______________

Address:___________________________________________________________

Please attach pastor’s letter of recommendation.

Personal references:

Name:_________________________Telephone:________________

Address:___________________________________________________________

Name:_________________________Telephone:_______________

Address:___________________________________________________________

It is my/our understanding that the maintenance of Asbury Grove centers in the Methodist Camp Meeting and its religious programs, and I/we pledge my/our participation in them.

I/we agree to practice in all reasonable ways an attitude of cooperation and friendliness, and to abide by the printed Rules and Regulations of the Asbury Camp Meeting Corporation.

Signed:_______________________________________________Date:______________

Approved by:___________________________________________Date:______________