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INSURAIVGE NOT REQUIRED AINI 2 1 2020 N-2020-017 <br />WORK, MAY PROCEED <br />CLERK OF COUNCIL Event Application <br />nnrc. <br />We are delighted that you have considered Delhi Center for your event. <br />cc)AltkVaM \e In order to best serve you we ask that you complete and submit this application form. <br />Event Information <br />Contact Person: Tram Le <br />First Name Last Name <br />Address: 20 Civic Center Plaza, Santa Ana, CA 2701 <br />Number Street Apt. # City State Zip Code <br />E-mail: TLe5f .santa-ana.or <br />Work Phone: 714 647 - 5355 Cell Phone: 714 640 - 7626 <br />Company Name: City of Santa Ana <br />Brief Company Description: We provide resources for artists and arts organizations in the City of Santa Ana <br />Company Partners or Associations if any: <br />Type of Applicant: <br />❑ Non -Profit Organization <br />❑ For -Profit Business <br />❑✓ Goverrunent Agency <br />❑ Private Party <br />❑ Financial Institution <br />Type of Event: <br />❑ Meeting ❑✓ Training <br />❑ Recognition Event ❑ Fundraiser <br />Event Name: Mural Guidelines Townhall Meeting <br />Brief Event Description/Topic: <br />❑ School/School District <br />❑ College/University <br />❑ Health Provider/Agency <br />❑ Religious Organization <br />❑ Community Organization <br />❑ Employee Event ❑Other: <br />❑ Cultural Celebration <br />Community meeting to discuss mural guidelines for the City of Santa Ana <br />Specific Setup Needed: in Ballroom: 150 chairs lecture -style <br />General Setup: ❑ Tables & Chairs or ❑✓ Chairs Only <br />*Please confirm setup 72 hours in advance, any last minute changes may affect availability of the tables and chairs. <br />Room being requested: <br />❑ Full Ballroom ❑Classroom 103 ❑ Dance Room <br />❑✓ Front Ballroom ❑ Classroom 102 0 Exercise Room <br />❑Back Ballroom O✓ Courtyard <br />Date(s) of Event: February 5, 2020 Setup Time: 5:30 PM to <br />Event Start: 5:30 PM & End Time: 8:30 PM Clean Up Time: e:oo PM to <br />Number of Guests: 75-100 Will there be children? DYes ❑No <br />Will alcohol be served? 0 Yes ❑✓ No Dance Floor Space Needed? 0 Yes 0✓ No <br />Will you be serving food?❑✓ Yes =No Will kitchen be used to warm food?❑Yes❑✓ No <br />Open to Public: ❑✓ Yes 0 No and Is there a fee for your event & if so, how much? so <br />How did you hear about us?NReferral ❑Internet Search ❑Attended an Event MOther: _ <br />I, City of Santa Ana , the rental applicant, certify that all the above information is true. If the <br />information in this application is found to be untrue, the Operations Manager has the right to cancel the contract <br />between the applicant and Delhi Community Center. This questionnaire in itself is not a contract for rental. <br />(SEE ATTACHED P <br />Signature <br />Date <br />