In order to properly fill out your application for submission, please print and fax your application to (574) 293-8096.
Event:________________________________________________________________
Space to be used:______________________________________________________
Date(s):______________________________________________________________
Move In:______________________________ Move Out:_______________________
Start Time(s):__________________________ Length of Show:__________________
Est. Attendance:_________________________ Ticket Prices:___________________
Contracting Organization:
_____________________________________________________________________
Contact:_______________________________________________________________
Address:______________________________________________________________
City: _________________________ State ______________ Zip ________________
Phone: _____________________________________ Fax: _____________________
EMAIL:_______________________________________________________________
Contracting Organization Principals:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Other Promoters involved in Event:_______________________________________
_____________________________________________________________________
_____________________________________________________________________
List all performers and/or groups in show for which this License Application is being submitted: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
