Edison Theatre Rental Request Form Please complete this form and return it to the Operations Manager at Edison Theatre, Campus Box 1119, One Brookings Drive, St. Louis, MO 63130, or use the on-line form.
Today's Date:	_________________________________
Organization Name/ Lessee:	______________________________________________________________________________________
Contact Person:	_________________________________________	Title:	_______________________________
Address:	______________________________________________________________________________________
Email:	______________________________________________________________________________________
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?:	_____   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:	_________
Signature:	____________________________________________	Date:	_____________________________