Belfry Theatre Rental Request Form Belfry Rental Request Form Please complete this form to request availability or a quote for a Rental of any of the Belfry's performance or rehearsal spaces. Our staff will review the requested date, and contact you with availability and cost. We will endeavour to respond to your request within seven business days. Thanks. CompanyProduction or Event NamePrimary Contact* Primary Contact Phone Number*Primary Contact Email* Secondary Contact Secondary Contact Phone NumberSecondary Contact Email Mailing Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Website GST/ Business NumberSociety/ Charitable Resigtration Number (Non-Profit Rate)Requested Space(s) Stewart Mainstage BMO Studio Theatre Studio B Lobby Requested DatesAlternate Dates My dates are flexible Performance/ Event Start Time : HH MM AM PM Approximate Length of Performance/ EventIs there an intermission / interval? Yes No Multiple Intervals Number of Artists/ Participants in the production/ event (not including audience):This gives us a sense of your backstage and dressing room needs. Brief Description of the Event (75-100 Words)*Ticket PriceSelect one: Ticket price plus GST Ticket price includes GST Ticket Face Wording (printed tickets):10-12 Words MAX, that will appear on all printed tickets (ie - The Belfry Theatre presents God of Carnage by Yasmina Reza)Complimentary Tickets (number to hold back from sale)Desired date to start ticket sales:Type of Event (select all that apply) Rehearsal Theatrical Production Reception Lecture Concert Dance Production Meeting Private Party Other How do you want to use the dates requested?(ie - 1 day rehearsal, 1 day tech, 3 days performances (2 performances per day))Do you need Lighting: Yes No Please give a brief detail of your Lighting needs:*Do you need Sound? Yes No Please give a brief detail of your Sound needs:*Do you need A/V? Yes No Please give a brief detail of your A/V needs:*Is the event open to the Public? Yes No Do you want to hold a pre or post show reception? (check all that apply) Pre-show Post Show Do you want to set anything up in the Lobby? Please elaborate:ie - Posters, banners, promo materials, merchandise, silent auction, raffle, decorations, etc.Anything else we should know? Buy Tickets Calendar Donate Seating Plan Play Reading – A Christmas Carol The Flame – Stories from the IBPoC Community The Flame – Stories from Theatre Designers In Conversation – Marcia Johnson Connect With Us
