Venue Application

Requested Facility: *

Select One: Tom & Janet Ikeda Theater (maximum capacity 1580) Virginia G. Piper Repertory Theater (maximum capacity 550) Nesbitt/Elliott Playhouse Theater (maximum capacity 200) Anita Cox Farnsworth Studio Theater (maximum capacity 99) Brown Sculpture Courtyard Dobson Lecture Hall MCA Meeting Room Other

Event Name:

Main Contact Name:

Title:

Organization:

Address:

Address

Address 2

City State Zip

Phone Number:

Fax:

Email Address: *

Contract Signer Info

Contract Signer Name: *

Signer Title:

Signer Address:

Address

Address 2

City State Zip

Rental Type: *

Select One: Commercial Non-Profit (must provide 501(c)3) City Private Public Other

Dates of Event

First Choice Start Date: *

First Choice End Date: *

Second Choice Start Date:

Second Choice End Date:

Number of Performances:

Start Time(s):

Special Instructions:

Move-In Day:

Move-Out Day:

Show/Event Dates:

Event Ticketing:

 Select One:

 Ticketed

 By Invitation

 Free with Ticket

Expected Attendance:

Brief Description of Event:

Billing Address (if different):

Address

Address 2

City State Zip

Venue Reference #1

(Event Venue you have done business with in the past)

Name:

Address:

Address

Address 2

City State Zip

Name of Previous Event:

Date of Previous Event:

Venue Reference #2

(Event Venue you have done business with in the past)

Name:

Address:

Address

Address 2

City State Zip

Name of Previous Event:

Date of Previous Event:

Venue Reference #3

(Event Venue you have done business with in the past)

Name:

Address:

Address

Address 2

City State Zip

Name of Previous Event:

Date of Previous Event:

Any further comments or questions?

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