Home » Arts » Bendheim Performing Arts Center » Initial Facilities Request From Initial Facilities Request From Facility Request Form Name of Organization / Individual Sponsor* Type of Organization* Non-Profit For Profit Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone (Work)*Telephone (Cell)*Email* Date of Meeting / Function* MM slash DD slash YYYY Time*Please indicate start and finish time of meeting/function. (i.e. 10:00am - 1:00pm) : AM PM Purpose of Meeting / Function*Estimated Attendance* Age of Audience (minors require supervision)* Number of Adult Supervisors* Admission Charge, if any
