REQUESTER INFORMATION Organization Name: Requester's Name: Phone Number: Email Address: EVENT INFORMATION Event name: Location name: Onsite Contact Name: Cell: Address: Event date: Month:JUNJULAUGSEPOCTNOVDEC Day:12345678910111213141516171819202122232425262728293031 Year:2020 Time: Delivery drop-off: Location name: Address: Date: Month:JUNJULAUGSEPOCTNOVDEC Day:12345678910111213141516171819202122232425262728293031 Year:2020 Time: Pick-up Delivery: Location name: Address: Date: Month:JUNJULAUGSEPOCTNOVDEC Day:12345678910111213141516171819202122232425262728293031 Year:2020 Time: EQUIPMENT OPTIONS Stage with rails and stairs: ---12’ x 16’ x 212’ x 24’ x Lectern Box/Podium Flags and base Supervisor Seal or County Supervisor Banner and Stanchions Risers: 4’ x 4’ x 6” Carpeted Riser: ---012 4’ x 8’ x 6” Carpeted Riser: ---01234 4’ x 12’ x 6” Dance Floor Riser:---012 Tables: Banquet Tables Rectangular, 6': ---012345678910111213141516171819202122232425 Banquet Tables Round, 5': ---012345678910111213141516171819202122232425 Cocktail Tables Round, 30": ---012345678910 Chairs: Upholstered (white) Folding Chairs: ---123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250 Steel Folding Chairs: ---123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250 Theater Style Stackable Chairs: ---123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133134135136137138139140141142143144145146147148149150151152153154155156157158159160161162163164165166167168169170171172173174175176177178179180181182183184185186187188189190191192193194195196197198199200201202203204205206207208209210211212213214215216217218219220221222223224225226227228229230231232233234235236237238239240241242243244245246247248249250 Canopies: 10 x 10 Canopy: ---12345678910 10 x 15 Canopy: ---12345 Stage Canopy 15x25 on 10' Legs: ---12345678910 Audio Visual: Public Address system (PA System) Approximate audience size: To be used: IndoorsOutdoors Microphones: ---0123 Generator: ---Generator, 6500 WattsGenerator, 3000 WattsGenerator, 2000 WattsGenerator, 1000 Watts I UNDERSTAND THAT THIS FORM SUBMISSION DOES NOT IN ANY WAY GUARANTEE THE APPROVAL OF MY REQUEST.