Facility Use Application

Facility Use Applicant     
                                      (Name of Company, Corporation, Organization, or Individual)

Address       
                    (Street, City, State, Zip)

Phone             Fax       

Are you a Non-Profit organization?  Select Yes No  
If yes, you must provide a copy of your Certificate of Non-Profit Status (5013C).

If corporation, list state of incorporation, names, titles, and addresses of principal executive officers:

Name         Title    

Address   
                (Street, City, State, Zip)

Name         Title    

Address   
                (Street, City, State, Zip)

Name and title of person who will sign contract:

Name         Title    

Address   
                (Street, City, State, Zip)

Phone   

PLEASE LIST AUDITORIUMS, ARENAS, AND/OR FACILITIES PREVIOUSLY LEASED BY THE APPLICANT:

Facility          City and State           

When?           Facility Contact           

Phone     

Facility          City and State           

When?           Facility Contact           

Phone     

Facility          City and State           

When?           Facility Contact           

Phone     

REFERENCES:  LIST THREE BUSINESS REFERENCES AND A CONTACT PERSON FOR EACH:

1.  Company          City and State           

Contact Person           Phone     

2.  Company          City and State           

Contact Person           Phone     

3.  Company          City and State           

Contact Person           Phone     

BANK REFERENCE:

Bank    Type of Account   Acct. # 

City and State        Bank Officer          Phone      

EVENT INFORMATION:

Full description and name of show or function for which auditorium is to be used, including load-in time, performance time(s), intermission time(s), length of performance, and load-out time.  Attach additional sheet if necessary:

Requested event dates:   

Please list auditoriums, arenas, and/or other facilities where performer(s) participating in your event have previously appeared:

Facility          City and State           

When?           Facility Contact           

Phone     

Facility          City and State           

When?           Facility Contact           

Phone     

Agent or management for performer(s): 

Agency   

Contact   

Phone number   

Will tickets be sold to the event?  Select Yes No       Prices

Where and how will tickets be sold   
General Admission or reserved seating  
If no admission charged, will the event be open to anyone desiring admitance?  Select Yes No      

Is this a fundraiser?  Select Yes No           Will a collection be taken?  Select Yes No      

All questions must be answered in full before consideration will be given to this application.
It is understood that this is only an application for the use of McFarlin Memorial Auditorium, and its acceptance is subject to approval by the management of McFarlin and does not make or imply any obligation to the applicant.  Applicant warrants that all statements are true and correct.