SINNISSIPPI MUSIC SHELL RENTAL REQUEST
Date
-
Month
-
Day
Year
Date
Name/Organization:
*
Contact Person
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Event Name:
Event Date:
*
-
Month
-
Day
Year
Date
Event Hours:
*
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Estimated Attendance:
Is function open to the public?
Please Select
YES
NO
Will fees be charged?
Please Select
YES
NO
Amount to be charged?
Will sales be made?
Please Select
YES
NO
What items will be sold?
Will collections be taken?
Please Select
YES
NO
Purpose of collection?
Description of Activities:
Notes:
Submit
Should be Empty: