Name*:

Email*:

Program Title:

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Requested Date: (Must be 4 days from today's date.)

Event Type

Other:

Cost of Ticket:

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Time Start:

Time End:

Additional setup time needed:

Additional teardown time needed:

Total Time in Hall:

Actual Program Start Time:

Program Length (hours):

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Complete Description of Program for publicity. If a reception is to be held, please specify place, time and if open to the public. You are responsible for printed programs*:

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SPECIAL NEEDS

Instrument Requested-

, if you check this box and this is NOT a major ensemble, you must submit a Harkness Audio Service Recording Request form.

Note: Wireless and standard network connections are available. You are required to provide computer and CAT5 cable if necessary.

Equipment needed (ex. chairs, music stands, choral risers, etc.)