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Doing Business with LA County
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Special Services Estimate Request Form
Form Must be Submitted a Minimum of Two Weeks Before Event
Special Services Estimate Request Form
Form Must be Submitted a Minimum of Two Weeks Before Event
REQUESTER INFORMATION
Organization Name:
*
Requester's Name:
*
Phone Number:
*
Email Address:
*
Enter Email
Confirm Email
EVENT INFORMATION
Event Date:
*
MM slash DD slash YYYY
Actual Event Start Time:
*
HH
:
MM
AM
PM
AM/PM
Event End Date:
*
MM slash DD slash YYYY
Actual Event End Time:
*
HH
:
MM
AM
PM
AM/PM
Set Up Date:
*
MM slash DD slash YYYY
Set Up Time:
*
HH
:
MM
AM
PM
AM/PM
Pick Up Date:
*
MM slash DD slash YYYY
Pick Up Time:
*
HH
:
MM
AM
PM
AM/PM
Event Name:
*
Location Name:
*
Address for Drop Off & Pick Up:
*
Street Address
City
ZIP Code
Contact Name:
*
Phone Number:
*
Cell Number:
*
Same as Above
Onsite Contact Name:
Phone Number:
Cell Number:
SPECIAL INSTRUCTIONS:
EQUIPMENT OPTIONS
10 x 10 Canopy:
--
Yes
Quantity:
10 x 15 Canopy:
--
Yes
Quantity:
15 x 20 Stage Canopy:
--
Yes
Quantity:
20 x 25 Stage Canopy:
--
Yes
Quantity:
Stage with Rails & Stairs:
Type
12x16x2 - Handrails & 1 Step
12x24x2 - Handrails & 1 Step
Stage Location:
Type
Asphalt
Concrete
Grass
Flag:
Type
Single
Tri Flag
Risers:
Type
4’x8’x6” Carpeted Riser
4’x4’x6” Carpeted Riser
4’x12’x 6”Dance Floor Riser
Stage Risers 6" Carpet
Riser 6" Gray Wood
Audio Video:
--
Yes
PA System:
--
Yes
Microphone:
--
Yes
Quantity:
Supervisor Banner:
--
Yes
Lectern Box / Podium:
--
Yes
Generator: (Includes 8 hrs Fuel)
Type
Honda Generator 2000
Honda Generator 3000
Honda Generator 6000
Generator 25K or Greater
6' Rectangular Table:
--
Yes
Quantity:
5' Round Table:
--
Yes
Quantity:
36" Cocktail Table:
--
Yes
Quantity:
Garden Style Table:
--
Yes
Quantity:
Table Cloths:
--
Yes
Cloth Color:
--
Burgundy
Light Blue
Royal Blue
White
Instructions | Table Cloths: (Specify Color/Quantity by Table Types)
Chairs:
Type
Steel Brown Folding
White Folding
Black Theater Style
White Padded Folding
Seminar 150 Max
Quantity:
Additional Miscellaneous Items Not Listed:
*
I UNDERSTAND THAT THIS FORM SUBMISSION DOES NOT IN ANY WAY GUARANTEE THE APPROVAL OF MY REQUEST.
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