Submission Request Form
We currently have several items we produce and sponsor on a annual basis. We will review these submissions on a monthly basis and contact you if the Tourism & Arts Department has more questions or we feel we can be of assistance.
Please select the following according to your submission request.
I want to collaborate with Tourism & Arts Department.
I want to use the Lone Elm Room.
I want to ask for sponsorship monies from the Mattoon Arts Council.
I want to apply for a City of Mattoon, Tourism grant.
Other
Explain your submission?
Name of the Program and/or Event (If this applies)
Date
-
Month
-
Day
Year
Date
Several Dates
Include Hours
Who is your target audience?
Is this public or a private event?
Will you be charging a fee?
The Mattoon Arts Council's Lone Elm Room focuses on Art related programming and events. The value of the room is $100 per hour. What are your questions?
If you are requesting the Lone Elm Room, located inside the Train Depot, please review this information and select options.
Please Select
Meeting (2 Hours)
Event (8 hours)
Programs (Several days)
Resources
Set up date/s (for your group)
Tear down date/s (for your group)
Audio & Visual (Microphone, speaker, projector, projector screen)
Please explain your needs. The Lone Elm Room can only be used with permission from The Tourism & Arts Director at her discretion and availability of staff.
Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Assigned Contact
First Name
Last Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.
Financial Information (If applicable)
Review the items below for reference.
Income
Rows
Amount ($)
Sponsors (if any)
Registration Fees
Ticket Sales
Donations
Other
TOTAL
Expenses
Rows
Amount ($)
Venue Hire
Food & Beverages
Promotional Material
Advertising
Prizes
Other
TOTAL
Total Revenue
Submit
Should be Empty: