EVENT LEASE APPLICATION
Bell Tower Shops / Madison Marquette
13499 US 41 SE, Suite 161
Fort Myers, FL 33907
(239) 489.1221 phone or (239) 489.3267 fax
www.thebelltowershops.com
[email protected]
(PLEASE PRINT CLEARLY OR TYPE)
Date: ____________
Applicant Name (Mrs., Mr., Miss, Ms.): _______________________________________________________
Company Name (if applicable): ___________________________________________________________
Address 1: _________________________________________________________________________________
Address 2: _________________________________________________________________________________
City/State/Zip: _____________________________________________________________________________
Cell: ______________________________ Email: __________________________________________________
EVENT INFORMATION
1. Proposed dates and times of event (Please include setup and breakdown times.)
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2. Type of Event: (Please check all that apply)
Athletic Walk/Race
Concert
Educational
Fair/Market
Festival/Carnival
Film/Photo Shoot
Parade
Reception
Reunion
Wedding
Other: _____________________________________________________________________
* If you are applying for an ATHLETIC EVENT or WALK please attach proposed
route map including rest stops, barricades and volunteer placement.
3. Name of event:
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4. Intended event demographic: _________________________________________________
5. Estimated attendance: _________________________________________________________
6. Describe event activities: (attach additional paperwork if necessary)
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7. How many volunteers or staff members will you provide for the event? _____________
8. Do you plan to serve alcohol during this event? If so, please describe in detail how
alcohol distribution would be managed (Please provide as many details as
possible).
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9. List all vendors, sponsors or other organizations that will be represented at this event
and their purpose.
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10. Have you made provisions for additional on-site security? Additional security may be
necessary dependent on the event.
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* Bell Tower Shops requires approval and up-to-date COI and LTU for all outside security
vendors for events.
11. If a vendor is making sales during your event, will they be donating a portion of their
proceeds to the organization? How much? ______________________________________
12. Will the vendor be providing consumable goods? YES
NO
13. If yes, can they provide a proof of insurance naming Bell Tower Shops as additionally
insured? YES
NO
14. If you have conducted this event in the past, what are some issues and concerns
you would like to address?
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15. How will your organization plan to make adjustments for improvements of this event?
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ORGANIZATION INFORMATION
16. Are you a registered 501c3 nonprofit?
YES
17. Are you able to pull a permit for the sale of alcohol?
No
YES
NO
18. How many permits can you pull for the remaining year? ___________________________
19. Can you provide a COI naming Bell Tower Shops as additionally insured? YES NO
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If no, please explain:
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ADVERTISING & PROMOTIONS
20. How do you plan to publicize this proposed event?
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* Any materials using the name “Bell Tower Shops” and/or the property address must be
approved by Bell tower shops’ management prior to printing and distribution.
21. Will you provide logos, ads and marketing materials for posting and promotions
through Bell Tower Shops’ resources? Please list:
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22. Will you be distributing a press release?
YES
NO
If yes, please explain when and where:
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23. Where do you plan to advertise online? Please list all websites and social media
outlets:
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24. Please list all major publications you plan to advertise in:
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25. Please list all radio ads, stations and when they plan to run:
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26. Please list all e-mail distribution lists, the approximate number of members on each
and when you plan to release?
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_________________________________________________________________________________
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USE OF PARKING LOT
27. Will any public street(s) need to be partially closed or blocked off during your event?
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28. If using the parking lot for the event or to assist in parking for volunteers and
attendees, please indicate size of space needed. Attach a site map if available.
____________________________________________________________________________
29. If you intend to provide space for large or oversized trailers, tents, trucks, vans, etc.
please list the vehicles and approximate size and arrival time of each:
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30. If vehicles, tents, trailers or equipment needs to be loaded onto the interior of
shopping center property, can you arrange delivery before 10am and removal after
9pm? YES
NO
31. Do you plan to host a radio remote? Please indicate the station, approximate
placement of van, size of van and contact information for required LTU and
updated COI to be retrieved prior to arrival on property. Attach site map if
available:
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ENTERTAINMENT
32. Do you plan to provide entertainment for this event? If so, describe set up and type
of entertainment.
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_________________________________________________________________________________
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33. Will your entertainment be able to set up on a stage measuring 12X16ft? Yes No
34. What sound and lighting equipment do you plan to provide during the event?
Please list:
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*Bell Tower Shops cannot provide sound or lighting equipment for your entertainment. These
must be rented or provided by your organization.
35. Will a tent(s) or any other temporary structure(s) be needed for this event? If so,
please describe: (Include size and intended placement
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36. Will your event require electricity? If so, please list equipment and wattage.
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37. Will you require any special assistance (carts, back door entry etc.) for equipment or
supplies? Please explain: _________________________________________________________
38. Will you need to store or delivery items prior to the event? Please list items and
approximate day and time of delivery:
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39. Will any items need to be kept chilled prior to your event?
YES
No
40. If yes, what arrangements have been made to chill your supplies?
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41. Do you plan to work with a rental company for your event?
YES
NO
42. If yes, please provide contact information:
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*Bell Tower Shops requires up-to-date COI and a signed LTU for all rental companies to
deliver and set up on property.
FUNDRAISING
43. Is a guest list registration, membership, ticket, or admission fee required for your
event? If so, please explain the type of fee, amount and purpose of the fee,
collection method and security control.
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44. Is this event open to the public? Yes No
If no, please explain:
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45. How do you plan to raise money for your organization during the event?
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46. If you are hosting a raffle or silent auction, do you plan to contact our merchants?
YES
NO
47. If you are hosting a raffle or silent auction, what are your largest prizes available and
the approximate value?
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48. Will you be seeking sponsors to participate in this event? YES
No
49. If yes, please list the sponsors and their requirements at the event (banners, booths,
signage, inclusion on programs, bag stuffers, etc.):
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*Bell Tower Shops’ management must approve sponsor and vendor requirements prior to
commitment.
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CLEAN UP & BREAKDOWN
50.
How do you plan to remove event refuse/garbage during and after the event?
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51. Do you have a recycling plan? ___________________________________________________
52. How many volunteers or staff members will help with breakdown? ______________
53. Will any items need to be stored overnight? What time can we expect them to be
picked up the following day? Please describe:
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54. Besides providing the location is there anything else you expect Bell Tower Shops to
provide support for this event?
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Thank you for completing the Event Lease Application for the Bell Tower Shops. If the event is
granted, an event temporary license agreement will be issued to the organization and/or
applicant responsible for conducting the event. Standard fees may apply.
Please do not send out flyers, announcements, save the dates, etc. until you have received a
license agreement. The Bell Tower Shops will provide the policies and procedures for holding
an event if/when approved.
By execution of this application, I have made an honest representation in responding to the
question above, and do hereby certify that all information contained in the preceding pages
is accurate and correct. This Application is for review by property ownership and/or
management staff, at no time does this Application serve as an Event Temporary License
Agreement nor does it guarantee that an agreement will be executed.
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PLEASE SIGN AND DATE BEFORE RETURNING THIS APPLICATION
___________________________________
________________________________
Signature of Applicant
Date
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OFFICIAL USE ONLY
Date Received: __________________ Received By: ______________________
Action Taken: ___________________ Action Date: _______________________
Notes:
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