Roxie Rental Information Form
Event Title *
Your answer
Your name *
Your answer
Email address *
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Phone number *
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Address *
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Prefered Rental Date/s *
Please include date/s and time/s
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What venue are you interested in renting? *
Purpose? *
Brief description of the event *
Please let us know your program idea and technical needs. Do you want to bring in outside food or drink? Are you interested in the Roxie selling tickets? Is your event private or public? Is there anything else we should know?
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Questions or comments
If yes, please describe below
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How did you find out about Roxie Rentals
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This form was created inside of Roxie Theater.