NAME OF
APPLICANT__________________________________________________________ |
HOME
ADDRESS_______________________________________________________________ |
IF APPLICATION
IS FOR A CORPORATION, PLEASE COMPLETE THE FOLLOWING: |
INCORPORATED
UNDER THE LAWS OF THE STATE OF ___ ____________________________ |
DATE OF
INCORPORATION _______________
______________________________________ |
NAME AND
ADDRESS OF ALL OFFICERS: |
PRESIDENT
__________________________________________________________________ |
VICE PRESIDENT
______________________________________________________________ |
SECRETARY
__________________________________________________________________ |
TREASURER
____________ ______________________________________________________ |
REGISTERED
AGENT OF THE CORPORATION ________________________________________ |
TRADE NAME OF
THE THEATRE __________________________________________________ |
STREET ADDRESS
OF THE THEATRE _______________________________________________ |
TOTAL NUMBER OF
SEATS IN THE THEATRE ________________________________________ |