Ticket donation request form

Contact Information

Contact name*

First Last

Contact personal pronouns

Contact phone number*

Contact email address*

Contact address*

Street Address Address Line 2 City State ZIP Code

About Your Organization

Organization name*

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Organization EIN (Tax ID)*

Organization mailing address*

Street Address Address Line 2 City State ZIP Code

Organization street address (if different from mailing address)

Street Address Address Line 2 City State ZIP Code

Organization website

Which of the following best represents your organization's PRIMARY focus?*

If "other," please specify primary focus:

What is the organization's mission?*

Ensemble Staff Referral

If an Ensemble Theatre staff member referred you, please provide their name:

About Your Event

Describe your event*

What is the date of your event?*

What is your donation deadline, if different from event date?

Event type*

If "other," please specify event type:

Approximately how many people will be attending?*

How will this donation be used?*

How will Ensemble Theatre be recognized for this donation?*

I would like to receive information regarding your private event spaces.*

Yes

No

I would like to receive information about discount group/organization tickets.*

Yes

No

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