"*" indicates required fields Special Services Estimate Request Form Form Must be Submitted a Minimum of Two Weeks Before EventSpecial Services Estimate Request Form Form Must be Submitted a Minimum of Two Weeks Before EventREQUESTER INFORMATIONOrganization Name:* Requester's Name:* Phone Number:*Email Address:* Enter Email Confirm Email EVENT INFORMATIONEvent 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 OPTIONS10 x 10 Canopy:--YesQuantity:10 x 15 Canopy:--YesQuantity:15 x 20 Stage Canopy:--YesQuantity:20 x 25 Stage Canopy:--YesQuantity:Stage with Rails & Stairs:Type12x16x2 - Handrails & 1 Step12x24x2 - Handrails & 1 StepStage Location:TypeAsphaltConcreteGrassFlag:TypeSingleTri FlagRisers:Type4’x8’x6” Carpeted Riser4’x4’x6” Carpeted Riser4’x12’x 6”Dance Floor RiserStage Risers 6" CarpetRiser 6" Gray WoodAudio Video:--YesPA System:--YesMicrophone:--YesQuantity:Supervisor Banner:--YesLectern Box / Podium:--YesGenerator: (Includes 8 hrs Fuel)TypeHonda Generator 2000Honda Generator 3000Honda Generator 60006' Rectangular Table:--YesQuantity:5' Round Table:--YesQuantity:36" Cocktail Table:--YesQuantity:Garden Style Table:--YesQuantity: Table Cloths:--YesCloth Color:--BurgundyLight Blue Royal Blue WhiteInstructions | Table Cloths: (Specify Color/Quantity by Table Types)Chairs:TypeSteel Brown FoldingWhite FoldingBlack Theater StyleWhite Padded FoldingSeminar 150 MaxQuantity:Additional Miscellaneous Items Not Listed:* I UNDERSTAND THAT THIS FORM SUBMISSION DOES NOT IN ANY WAY GUARANTEE THE APPROVAL OF MY REQUEST.CAPTCHANameThis field is for validation purposes and should be left unchanged.
