LexArts Rental Request
Contact Information:
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Information:
Event Date
-
Month
-
Day
Year
Date
Event Start Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Event End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Requested Room(s)
LexArts Great Room
LexArts Gallery
LexArts Exec
Studio 3A
Studio 3B
Other
Number of Guests
5-25
25-50
50-100
100-150
150-200
Equipment Requests
Folding Chairs
Tables
Other
Will there be food / alcohol?
Food only
Alcohol only
Both
Neither
Type of Event
Rehearsal
Wedding
Civic Event
Dance/Music Event
Dance/Music Lesson
Reception
Corporate Rental
Birthday Party
Other
Please describe the Event:
Submit
Should be Empty: