Please fill out form below completely. Our booking department will contact you as soon as possible.
Date of Event Start Time End Time
Set-Up Date Start Time End Time
Location of Event: (Check all that apply)
Community Meeting Room (CMR) Mall Common Area Center Stage Parking Lot
Event:
Event Description:
Event Sponsor: Contact Name:
Phone Number: Fax Number:
Email Address:    
Equipment Needed: Please Be Specific.      
Tables: Chairs: Podium / P.A. System:     Easel:    Mobile Stage:
For Use of Community Meeting Room Only:
Kitchen: Projector/Screen:
Additional Information (equipment or setup)    
   
Event Cost: Please click here to view set-up PDF
Is the Public Invited?
Will there be food? If so, please provide name and phone number of Vendor/Caterer.
 
Describe the level of expected media involvement, support or exposure anticipated.
 
Describe the proposed use of the Jackson Medical Mall name or logo on flyers, invitations, etc. or in broadcast scripts: