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Rentals & Special Event Agreement & Checklist
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* Indicates required question
Please specify your request type
*
Rental
Special Event
Required
Name of partner organization
(s)
*
Your answer
CONTACT & BILLING INFORMATION
Name
Your answer
Address
Your answer
Phone
Your answer
Email
Your answer
Date of Event
MM
/
DD
/
YYYY
Time of Event
Time
:
AM
PM
Estimated Attendance
Your answer
TECHNICAL AND EQUIPMENT RENTALS
File Format
Blu Ray /DVD
DCP
Other:
Clear selection
Other technology
Zoom
Powerpoint
Laptop
Other:
Date film will be provided to Chelsea staff to test for projection
MM
/
DD
/
YYYY
Other equipment needed
Microphone and speakers
6 foot table and 2 chairs for lobby or outside of theater
Other:
Concessions
Prepaid concessions for your guests (if this option, please discuss with Chelsea Staff)
Concessions stand open (if theater is not already open for other showings) available for groups of 30 or more
How will tickets be sold?
Renter handles admissions
Chelsea will handle box office
FEES
Rental rate
Your answer
Box office percentage
(For rentals, payment is due in advance)
Your answer
PROMOTION
How will the event be promoted?
This is a private rental and renter will do all promotion
Include information about this event in the Chelsea newsletter and partner will provide copy
Other:
Clear selection
Please note any additional requirements
Your answer
Signature of Renter and Date
(Please type your full name)
Your answer
Signature of Chelsea Theater Representative and Date
(Please type your full name)
Your answer
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