Set up/tech info: PROMOTIONAL INFO: PLEASE COMPLETE AS

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