* Denotes required field
General Information
Name of Organization/Company:
* Contact Person:			Title:
Contact Person (on-site):			Title:
* Street Address:
* City:			* State:		* Zip:
* Phone:			Cell:
* Email:			Fax:
* Preferred Method of Contact:		Phone Email
* Does the organization have non-profit status?				Yes No
* How did you find out about the Expo Center (be specific)?
Event Information
* Event/Activity Name:
* Event Dates:
Daily Event Hours:			Setup and Tear Down Day/Hours:
Type of Event:	Public Private
Event Budget:
* Anticipated Attendance:			Admission Charge:
Number of Vendors:			Fees Charged to Participate In Event:
* Please describe your event and any unique features in detail:
Indicate room preference:	Main Expo Expo South Expo North Room A Small Meeting Room Outdoor Space Entire Facility
Equipment Rental Needs:	Tables Chairs PA System Staging
Will Food Be Sold at the Event?		Yes No
Are Security Needs Anticipated?		Yes No
List any additional special needs:
References
Has this event been held in the past?			Yes No
Previous Location(s):
Event Name:
Dates:			Attendance:
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