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Box Office Service Request Form

General Information

Organization Name

Box Office & Ticketing Contact *

Box Office & Ticketing Contact

First

Last

Email *

Office Phone *

Cell Phone *

Company Logo

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Is your organization exempt from PA Sales Tax? *

Yes

Enter your PA Sales Tax Exemption ID Number here:

If tax exempt, you should have a PA tax exemption letter. Please upload here

Maximum upload size: 52.43MB

Production Setup

Name of Event *

as it will appear on tickets

Public Description of Event

How many performances?

OtherOther

Performance 1 Date *

Time

Performance 2 Date *

Time

Performance 3 Date *

Time

Performance 4 Date *

Time

Performance 5 Date *

Time

Performance 6 Date *

Time

Performance 7 Date *

Time

Performance 8 Date *

Time

Performance 9 Date *

Time

Performance 10 Date *

Time

Performance 11 Date *

Time

Performance 12 Date *

Time

Please enter the dates and times of all performances

Number of Acts or Sessions *

One

Two

Three

OtherOther

Intermissions *

No Intermission

One Intermission

Two Intermissions

OtherOther

Length of Intermission 1

Length of Intermission 2

Late Seating Policy *

Seat at Specific Break Times

Seat Immediately

Seat at Intermission

Do Not Seat Ant Late Arrivals

OtherOther

Production Accessibility

Please select accessibility options that will be available *

Wheelchair seating

Accessible seating

Assisted Listening

American Sign Language (ASL)

Audio Description

Sensory Friendly

Touch Tour

OtherOther

Any notes on accessibility?

Will certain accommodations only be available for specific performances? Please specify.

Event Ticketing Setup

Type of Seating *

General Admission

Reserved Seating Scaling

OtherOther

General Admission Price *

Please refer to this seating chart when answering the following questions

Select the seating sections you will be utilizing

Section A – Center Seating

Section B – House Left Stadium

Section C – House Right Stadium

Section D – Floor Seating

Section E – Center Balcony

Section F – Balcony Left

Section G – Balcony Right

Section A Price *

Section B Price *

Section C Price *

Section D Price *

Section E Price *

Section F Price *

Section G Price *

Ticket Sales will begin on *

Please describe all ticket types and price levels that you will offer *

(e.g. Adult – $50, College Student – $35, Child (18 and under) – $25)

Do you wish to absorb the facility fee or pass it on to the patron? *

Yes, I want to absorb the fees

No, pass them on to the patron

Do you wish to absorb any credit card fees or pass them on to the patron? *

Yes, I want to absorb the fees

No, pass them on to the patron

Do you wish to absorb the City of Pittsburgh Amusement Tax or pass them on to the patron? *

Yes, I want to absorb the fees

No, pass them on to the patron

Any notes on ticket types or scaling?

Do you need to set up Promo Codes?

Yes

Maybe later

Please describe any promotional offers and the code you would like to use

(e.g. Buy one ticket get one free – NHBOGO)

Please contact the box office when you are ready to set up promo codes:

Email: nathan@newhazletttheater.org

Phone: 412.320.4610 ext 10

If you are human, leave this field blank.

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First Name

Last Name

Email Address *

Zip Code

Would you like to volunteer at the Theater?

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No, thank you.

If you are human, leave this field blank.

New Hazlett Theater

6 Allegheny Square East
Pittsburgh, PA 15212
412-320-4610

EIN: 20-1066102

Accessibility Accommodations

For more information on accommodations please contact Nathan Wagner at
412-320-4610 ext. 10, or via email at nathan@newhazletttheater.org

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