Today's Date:
Organization Name /Lessee:
Contact Person:
Title:
Address:
E-Mail Address:
Phone:
Fax:
Event Information
Name of Event:
Nature of Event:
Load-In Date:
Load-Out Date:
Performance Dates:
Rehearsal Schedule:
Is this a new event?:	Yes    No
Venue of previous events:
# of performers:	men    women
Technical Needs
Sound:
Lighting:
Piano:
Dance Floor:
Ticketing/Seating
Are you requesting use of Edison Box Office/Metrotix:
Ticket Prices:
Seating:	General Admission     Reserved
Expected Attendance:
Name:
Date: