1560 Teller Application Form — Lakewood-West Colfax Business Improvement District

Application to Lease Space

Date

YYYY

Name

First Name

Last Name

Company Name

Address Info (street / city / zip)

Cell Phone

(###)

###

####

Website and/or Social Media Links

Short Artistic Statement or Creative Approach

How many productions do you typically conduct per year?

Would you consider sharing space with other creative usesrs?

Ideally, when would you like to move into the space?

Are you a 501(c)3 non-profit organization?

What is your annual gross operational budget (chose one)?

Other Messages, if any