Johanning Civic Center Contact Form

Request Proposal Form

Use the Form Below to Request A Rental Proposal From Our Event Coordinator.

Fields marked * require an entry.

Contact Name*:

Contact Title:

Contact Email*:

Daytime Phone Number*:

Extension:

Fax Number:

I am an:

In-House Planner

Contractual Planner

Other

Group Name*:

Group Address*:

Meeting Type*:

Preferred Dates*:
(include move-in & move out)

Estimated Attendance*:

Gross sq. ft. Exhibit Space Required:

Number of Meeting Rooms Required:

Service Needs*:
(select all that apply)
Check our Service Resources

Additional Comments/Questions:

Please send me information about Kokomo: