Pollack Tempe | Rental Request

Auditorium Rental Request

Requests may be made up to 6 months in advance with a minimum of 2 weeks. The price quoted will be specific to this rental request only. Rental rates start at $400 and will vary depending on date, time of day, length of rental, equipment needed, Concession Combo amounts, number of guests and auditorium requested.
Business Name
Contact Name*
Email*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Cell

Area CodePhone Number
Fax

Area CodePhone Number
Date Requested*

MonthDayYear
Date
Alternate Date

MonthDayYear
Date
Estimated Attendance*
Estimated Start Time Requested:*

:HourMinutesAM/PM Option
Estimated Event End Time Requested:*

:HourMinutesAM/PM Option
Reason for Rental: (please select all that apply):*

meetingpartymovieOther
Movie Title (1st Choice):*
If not watching a movie please enter N/A
Movie Title (1st Choice):*
If not watching a movie please enter NA
Film Rating:

GPGPG-13R
Movie Title (2nd Choice):*
Film Rating:

GPGPg-13R
Movie Title (3rd Choice):*
Film Rating:

GPGPg-13R
*(Additional film rental fee will apply to special order film rentals)
Please explain the details of your rental request:*
Audio/Video Requirements

Digital Projector/Cables - $150MicrophoneDVD PlayerBlue-Ray Player
Concession Stand Needed?

YesNo
Kids Combo $3.50 each - 16oz. soda - Child size popcorn

Small Combo $7.50 each - 24oz. soda - Small popcorn

Medium Combo $9.00 each - 32oz. soda - Medium popcorn

Large Combo $10.50 each - 44oz. soda - Large popcorn
Select a Size

KidsSmallMediumLarge
*Rental event concession coupons expire on date of event.

Minimum order of 50

** Concession fees will apply for approved outside catering of event excluding birthday cake.

***THIS IS NOT A RENTAL CONFIRMATION***
Should be Empty:

Auditorium Rental Request