Home » Arts » Bendheim Performing Arts Center » Initial Facilities Request FromInitial Facilities Request FromFacility Request Form Name of Organization / Individual Sponsor*Type of Organization*Non-ProfitFor ProfitAddress* 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* Date Format: MM slash DD slash YYYY Time*Please indicate start and finish time of meeting/function. (i.e. 10:00am - 1:00pm) : HH MM AMPM Purpose of Meeting / Function*Estimated Attendance*Age of Audience (minors require supervision)*Number of Adult Supervisors*Admission Charge, if any
