ONLINE APPLICATION

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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

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