Information Request
Name
*
First Name
Last Name
E-mail
*
example@example.com
Confirm E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Theater location
*
Please Select
FL- Coralwood 10 (Cape Coral)
KY- Highland Cinemas (Glasgow)
NC- Mimosa 7 (Morganton)
NC- Wakefield 12 (Raleigh)
NJ- Orchard 10 (Toms River)
NY- Orchard 14 (New Hartford)
TN- Pinnacle 12 (Bristol)
VA- Southpoint 9 (Fredericksburg)
VA- Wytheville 8 (Wytheville)
WV- Galleria 14 (Beckley)
WV- Highlands 14 (Tridelphia)
WV- Nicholas Showplace (Summersville)
WV- Pullman Square 16 (Huntington)
WV- Southridge 12 (South Charleston)
Date of Event
*
-
Month
-
Day
Year
Date
Time of Event
*
Hour Minutes
AM
PM
AM/PM Option
Company Name
*
Amount of time needed for setup/takedown
*
Number of people attending
*
Purpose of rental
*
Additional Comments/Questions
Submit
Should be Empty: