APPLICANT

TITLE

DATE

ORGANIZATION

Tax Status (Non-Profits are required to submit letter stating 501c3 status)

For Profit Non Profit

Address

City

State

Zip

Home Phone

Cell Phone

Work Phone

Fax

Box Office/Public Info Phone

Where will tickets be available?

Email Address:

website address

Event Name

Description of Event

Load In Date for Event

Load In Time for Event

Load Out Date for Event

Load Out Time for Event

Performance Time or Event Start Time

If Event occurs on several days or there are rehearsal days please list the schedule in detail here. Include: Date, In Time, Out Time and Event Start Time

Chairs (quantity)

Tables (quantity)

Podium

Yes No

Orchestra Shell (additional fees apply)

Yes No

Piano

Yamaha ($100) Steinway ($75) We will need both pianos

Piano Tuned? ($85 fee)

Yes No

List other requests here

Lighting Requests

Sound Requests

If bringing in equipment, please describe placement in auditorium

Lighting Engineer

We will hire Berger Center Lighting Engineer($13/hr with a 4hr min.) We will provide our own qualified Lighting Engineer

Sound Engineer

We will hire Berger Center Sound Engineer($13/hr with a 4hr min.) We will provide our own qualified Sound Engineer

Will tickets be sold?

Yes No

Date on sale

Ticket Prices

Will Berger Box Office be used on date of Event (there is a rental fee of $50)

Yes No

Estimated Attendance

Will Merchandise be sold? (House collects 10%)

Yes No

Describe Merchandise

Other Comments

Can Berger staff sell concessions (chips, soda, etc...) at your event?

Yes No

Will your event have an intermission? (this is required for Berger staff to sell concessions without an extra fee being charged.)

Yes No