EVENT FORM

Event Information Form Questionnaire
Public Event – including Ticket Support

Fill out this form to the best of your ability and include as much information as possible. This will ensure that The Media Block will be fully prepared to support your event in every way possible.

***(MAX GUEST AMOUNT = 100 GUESTS)***

1.RENTAL INFORMATION

Organization Name:

Your Name:

Title of Event:

Contact Phone:

Contact Email:

Event Time:

GUEST AMOUNT:

Event Date:

Detailed description of the event (please be as thorough as possible with time stamps so we can ensure you are renting enough time):

2. Which space are you renting?
Check all that apply.

STUDIO BLOCKPOD BLOCKENTIRE VENUE

3. Check video/media services you would like The Media Block to provide.

$0 NONE$50 - FLYER$75 - SNAP FILTER$100 - PHOTO COVERAGE$250 - VIDEO RE-CAP

4. Renters have full use of the lobby and a stage. The PA system and audio are provided. If Renters want a projector screen, the Set-Up Fee is $100. The projector screen is 200" IN SIZE.

Projector Screen:YESNO

5. Re-entry Wristbands: Renters can request re-entry wristbands for an additional $10. Wristbands can aid Renters with crowd control. Renters are permitted to provide an alternate form of re-entry such as stamps, tickets, etc…

Re-entry Wristbands: YESNO

6. Ticket Pricing $1 FEE ***THIS FEE IS TO COVER TICKET PRINTING AND PROCESSING***

The cost of this service is $1 per person, a service charge that can be paid directly by patrons or by the organization at closeout. All ticket prices are set by presenters so the ticket fee could also be invisibly added to your normal ticket price.

Note: For events that are completely free, Renters will not be charged a $1 fee per ticket, but renter must provide Tickets or RSVP list.

Incorporate it into the ticket cost (ex. a $25 ticket would be listed at $26 to the patron)Pay the fee up front; the patron will not be charged for the feeOur event is completely free; no $1 assessment