Breeden Insurance Amphitheatre Rental Application

Attention

Insurance Requirement

To host any type of event you must provide a certificate of insurance for the event.

* When applicable, organizers must strictly adhere to CDC and NCDHHS mass gathering guidelines.*

*After filling out the form hit the submit button below and you will be given additional information once the form has been received and reviewed.
If you have any questions feel free to contact by email
or phone 336-248-5929.

The Breeden Insurance Amphitheatre Rental Application

Lexington Area Chamber of Commerce
507 E. Center St. | Lexington, NC 27292 | 336-248-5929

Date of Application:(Required)

Date of Event:(Required)

Time of Event:(Required)

Purpose of Event:(Required)

Number of People Attending Function:(Required)

Name of Organization: (If not an organization please put N/A)(Required)

Main Contacts Name(Required)

First Last

Main Contact Number:(Required)

Alternate Number

Email:(Required)

Enter Email Confirm Email

After we have received and have reviewed your application, one of our staff will contact you.

Insurance Requirement

The Breeden Insurance Amphitheatre Rental Application

Get In Touch!