SSVII Rental/Party Info Form

Silver Screen VII - Gallipolis

1284 Jackson Pike, Gallipolis, OH 45631 - 740.794.3047
Silver Screen VII Private Party & Rental Request Form

Thank you for your interest in renting the theatre for your private event. Please fill out the information below as much as possible, so we can best address your needs. After your request is received, please expect a representative to reach out to you within 3 days.
Contact Information
Contact Name*

First NameMiddle Name (opt)Last Name
Organization
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Best time to reach you:

MorningAfternoonEveningOther
Best way reach you:

Phone call (above number)Phone txt (above number)Email (above email address)Other
Event Info
Event Type*

Birthday PartySchoolChurchSpecial NeedsEmployerOther
Purpose of Event
If a birthday party - who are you celebrating and how old?
Requested Date/Time of Event:

MonthDayYearHourMinutesAM/PM Option
Private Rental must be scheduled during non-business hours, preferably at least 2 weeks in advance due to employee scheduling.**

Rental time is the time the movie is planned to begin. Doors open for set-up and arrival 30 min prior to start of movie. 3 hrs 15 min total are included. (A Noon party would include from 11:30am thru 2:45pm, with the movie to begin at Noon.)

September thru May, Private Rentals can be scheduled on: Mon-Thurs at 3:30pm and earlier; Fridays at 1pm and earlier; Sat & Sun at 10:30am and earlier. Tues-Thurs can also accommodate 9:30pm rentals.

June thru August, Private Rentals can be schedule on: Mon-Fri 1pm and earlier; Sat & Sun at 10:30am and earlier and Tues-Thurs at 9:30pm.

All rentals are subject to availability.
Title of Movie(s) requested:*
Title of Movie(s) or preferred rating for available options
Media to be shown:

Current Movie provided by Silver Screen VIIContent provided by Contact (Additional fees may apply)Gaming on the Big Screen (XBox, Playstation, etc. provided by Contact - including cables, controllers, game) (Additional fees may apply)
To view a list of titles we will possibly be showing by release date, please visit our Coming Soon page.

Event pricing below is for currently licensed movies only. Additional fees may apply for movies not currently showing on the date of rental. All fees for specially licensed content are required up front and are non-refundable.
Please select your SSVII Rental option below.

Number of People includes children, parents, students, teachers, bus drivers, guests, and other. Count will be verified the day of the event.

Outside food (ex. pizza, cake) is permitted with rental options that include popcorn and drink in the party room.
1 - Private Primetime Buyout:

I would like a private showing of a regularly scheduled movie showtime. This requires the purchase of at least 80% of tickets for a specific showtime. This selection will be reserved upon payment. Concessions are not included. Please contact me to select the desired movie and showtime.
Number of People expected for the Private Primetime Buyout:
2 - Private Rental Options (outside of business hours):

Small Group - up to 35 people - $450 - Includes private auditorium, current movie, and small popcorn & small drink per person. $100 non-refundable deposit is required to hold the date and time, at least two weeks prior to date. $14 per person beyond 35 people.Large Group - 100 or more people - $14 per person - Includes private auditorium, current movie, and small popcorn & small drink per person - $100 non-refundable deposit is required to hold the date and time, at least two weeks prior to date.No Concession Group - $700 minimum, $7 per person - Includes private auditorium, current movie, no concessions - $100 non-refundable deposit is required to hold the date and time, at least two weeks prior to date.
Additional Concession Options (for rentals including concession):

Free Popcorn Refills - add $1 per personFree Drink Refills - add $1 per personI would like more information about other sizes of Popcorn/Drinks available
Drink Orders for Rentals with concessions provided:

Guests will fill individual drinks at the Pepsi stations.I will place the order for the group, so that they can be prepared before we arrive. (Please advise drink choice(s) in the section below.) Drink orders are suggested for groups of 100 or more.Other
Available drink options are Pepsi, Dt Pepsi, Pepsi Zero, Mtn Dew, Dt Mtn Dew, Starry, Orange Crush, Root Beer, Sweet Tea, Dr Pepper, Dt Dr Pepper, Lemonade, Fruit Punch, Water
Drink Order:
Notes/Questions:
For Businesses/ Organizations:

We will be paying with Cash/Check.We will be paying with Credit Card.Please email an invoice to me at the email address in the contact information. (Request a W9 at silverscreenvii@gmail.com)Other
For individuals renting the theatre:

I understand that a non-refundable deposit of $100 is required to hold the date/time - the deposit is applied to the total rental.

Event pricing is for currently licensed movies only. Additional fees may apply for movies not currently showing on the date of rental. All fees for specially licensed content are required up front and are non-refundable.

Deposits can be made at the Silver Screen VII Box Office in person or via cash or credit card. The Box Office opens 30 minutes before the first showtime each day.

Your request is being sent to silverscreenvii@gmail.com. Please expect our representative to reach out to you within 3 days of your request to confirm the availability of the date and time.

By clicking SUBMIT below, I acknowledge that I have read and understand these terms and conditions.
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Silver Screen VII - Gallipolis

Silver Screen VII Private Party & Rental Request Form

Contact Information

Event Info