Today's Date: *
Contact Information
Contact Name: *
Position: *
Email Address: *
Contact Phone Number: *
Venue Information
Venue Name: *
Venue Street Address:*
City: *
State: *
Zip Code: *
Venue Phone Number: *
If applicable, please indicate the School District:
Performance Space:*
Gymnasium
Cafeteria
Theater
Other
Do you receive Title 1 funding?*
Yes
No
Do you have a tuned piano?*
Yes
No
Production Information
Which production would you like?*
Cinderella in Spain (Sept. 24 – Dec. 15 2018)
The Elixir of Love (Jan. 28 – May 17 2019)
What is your first choice of date? (M-W-F only) *
Please indicate a preferred start time for this date (allow 60 mins for each performance).*
What is your second choice of date? (M-W-F only) *
Please indicate a preferred start time for this date (allow 60 mins for each performance). *
Please estimate the size of your audience (max 300 per performance).*
Payment Information
How many performances would you like to book?*
2 back-to-back performances of the same opera ($900)
1 performance ($550)
Payment Method:*
Check
Credit Card*
**An HGOco representative will call you to confirm the details of your order before processing a credit card payment.
Signature
The parties to this document intend and agree to conduct the transaction evidenced by this record or agreement by electronic means pursuant to the Uniform Electronic Transactions Act.
Notes/Special requests