CAMDEN OPERA HOUSE CONTRACT This agreement is entered into between the town of Camden, a municipal corporation of the state of Maine (the "Town") and (the "Licensee"). DATE: (Name of Organization) (Name of Event) (Mailing Address) (Telephone #) (Responsible Agent) 1 (City / State / Zip Code) EVENT: (Date of Event) (Profit or Non Profit) (Fax #) DATE(S) (e-mail address) (Non Profit ID #) (Web-site) IMPT for promo info** TIMES 2 3 4 Set up/tech info: PROMOTIONAL INFO: PLEASE COMPLETE AS THOROUGHLY AS POSSIBLE: PLEASE SEND A MINIMUM OF THREE PHOTOS TO: [email protected] Circle One: Reserved Seating G. Admission Ticket cost: ________ Adults _________Senior/Children discount? Y/N Age break?__________ How purchased? _____________________phone__________________________________outlets (name) Poster to OH (date) _____________ (we recommend MINIMUM of 1 month in advance) Pls. provide up to three lines of text explaining the show to the general public: MANAGEMENT RESERVES 12 SEATS FOR IN-HOUSE DISTRIBUTION AT THEIR DISCRETION. Standing in the aisles and/or the setting up of folding chairs is strictly prohibited. Maximum capacity of auditorium is 499 and may be less depending on usage. By signing this contract licensee has read and agrees to the Town of Camden Policies and Procedures as adopted May 2005 and as amended from time to time. In witness whereof, the Town and Licensee have signed this agreement by and through a duly authorized agent this day of Town of Camden Licensee By: By: Kerry Hadley, Opera House Manager ROOMS, SERVICES AND FEES COSTS ARE BASED ON INFO PROVIDED AT THE TIME OF CREATING THE CONTRACT. CHANGES TO SERVICES/AREAS USED WILL BE REFLECTED IN FINAL SETTLEMENT. AREAS USED Main Auditorium Rental package Tucker Room & Kitchen 3rd Floor Gallery / Gent's Club $ $ $ COST NOTES or % of gross ticket sales * (*= whichever is greater) bar,screening room, pre and during -show lounge ADD-ON SERVICES Piano Tuning $ Concert package $ Other $ Reserved Ticketing $ Film package $ Other $ Tech staff time Other X Other Damage Deposit: TOTAL FEES ESTIMATE (Non-Refundable Reservation Deposit) (Balance Due) $ $ $ $ 0.3 $ $ $0.00 rec'd on : 0.25 rec'd on: Please initial to accept (Licensee) SIGNED AGREEMENT AND NON-REFUNDABLE DEPOSIT ARE DUE NO LATER THAN FOURTEEN DAYS AFTER RECEIPT OF CONTRACT. PLEASE MAIL SIGNED COPY OF CONTRACT AND PAYMENT TO: KERRY HADLEY, OPERA HOUSE MANAGER, CAMDEN OPERA HOUSE, P.O. BOX 1207, CAMDEN, ME 04843. PLEASE MAKE CHECKS PAYABLE TO TOWN OF CAMDEN. Balance of the total fees is due thirty (60) days prior to the first use of the facilities. No refunds will be issued should the event be cancelled thirty (30) days or less prior to first date use. check # : check # : CAMDEN OPERA HOUSE SETTLEMENT SHEET EVENT COSTS BASED ON ACTUALS - FINAL INVOICE Date issued: Name of Event: Date of Event: Person / Organization: Make Refund Check Payable to: Mailing Address: CONTRACT: Reservation deposit: Other Payments: Total Amount Paid: ACTUAL COSTS: Facility Rental Staff Add-On Services Refund (COH ticket sales applied to rental) $0.00 (to acct. G1-180-11) Net TB payment R901615 Amount Paid Actual Cost of Event Amount of Refund Balance Due Opera House Additional Information: Original to Carol Sue Greenleaf Copy to Theresa, Renter $0.00 $0.00 Thank you, Kerry Hadley, Opera House Manager Please mail any payments due to : Kerry Hadley, Opera House Manager Camden Opera House PO Box 1207 29 Elm Street Camden , ME 04843
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