DANCEFIT FAX REQUEST- External Event

Thank you for your request. We would love to be a part of making your event a success. In order to serve you in the best way

possible, please take a moment to print out and complete this form & return it by fax to:

434-295-4774 or mail to: DanceFit, 609 E. Market Street, Studio 107, Charlottesville, Va 22902. Again, thank you.

ORGANIZATION INFORMATION:

1. Business/Organization Name:

2. Contact Name:

3. Contact Email:

4. Contact Phone:

5. Please describe your Business/Organization:

6. Is your organization a not-for-profit ?

EVENT INFORMATION:

7. What is the date of your event?

8. Time of Event?

9. What type of event are you having?

10. What is the location of the event?

11.How many people do you expect audience?

12.Will you be charging a fee for admission?

PRESENTATION INFORMATION:

13. What would you like DanceFit to do for you?

14.What time and for what length of time?

15. Please list any special request here:

16.Describe the performance space.

17.What type of equipment will be available?

18.How much do you have budgeted for this presentation?

19.Are you willing to pay expenses for travel and meals if required?

20. Please note any additional information here:

Thank you for your request and your interest in DanceFit. You will be hearing from us promptly!