Blackbox Rental Request Form
Contact Details
All booking requests must be submitted at least 30 days in advance
Name of person(s) in charge of Event:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
Company:
*
Check if applicable:
Non Profit
If your organization is a non profit, please submit a W9 that includes the business EIN number.
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Your Event Details
Event Name:
*
Date of Event:
-
Month
-
Day
Year
Date
Time of Event Starts:
*
Hour Minutes
AM
PM
AM/PM Option
Time of Event Ends:
*
Hour Minutes
AM
PM
AM/PM Option
Setup Time:
*
Hour Minutes
AM
PM
AM/PM Option
Wrap Time:
*
Hour Minutes
AM
PM
AM/PM Option
Number of Guest(s) Expected:
*
Briefly describe your event:
Event Type-Check all that apply:
*
Private event
Open to the public
Meeting
Performance
Admission Fee:
*
Yes
No
Check any theater equipment needed:
Projector and Screen
Microphones
Advanced Lighting
Tables
Other
If other, please specify:
How did you hear about us?
Please verify that you are human
*
Submit
Should be Empty: