LexArts Request for Rental Information

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

: Hour Minutes AM/PM Option
Event End Time

: Hour Minutes AM/PM Option
Requested Room(s)

LexArts Great Room LexArts Gallery LexArts Exec Studio 3A Studio 3B
Number of Guests

5-25 25-50 50-100 100-150 150-200
Equipment Requests

Folding Chairs Tables
Will there be food / alcohol?

Food only Alcohol only Both Neither
Type of Event
Please describe the Event:
Should be Empty:

LexArts Rental Request