Rental Application Organization or Business name: Contact Name (required) Your Email (required) Phone (home): Phone (work): Phone (cell): Fax: Address: City/Town: State: ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP: How did you hear about Kupferberg Center for the Arts? Please describe the event in detail: Please name all the artists that will perform or be in attendance: Which hall do you wish to use? Colden AuditoriumLeFrak Concert Hall Please list the dates(s) you wish to use the hall (list in order of your preference): Do you currently have signed contracts with the artists? YesNo Do you have visas for any international artists? YesNo Have you ever attended an event at Colden Center? YesNo Have you ever produced a show before? YesNo If so, please provide the following information per event below: EVENT 1: Artists appearing at event: Date of event: Facility where event held: Contact person at facility: Phone number of facility: EVENT 2: Artists appearing at event: Date of event: Facility where event held: Contact person at facility: Phone number of facility: