Dome Facility

Rental Application

Your application is subject to approval by Mutual of Omaha. You will be contacted by Mutual of Omaha within one week of submitting your application.
Note: All fields with a * are required.

All applications must be submitted at least three months prior to the date of your event.
Organization Information
Name:*
Address:*
City:*
State / ZIP:*
Phone:*	(xxx-xxx-xxxx)
Fax:	(xxx-xxx-xxxx)
Web site:
Tax ID Number:*
Mission Statement:*
Board of Directors:* (list names)
Event Coordinator
Name:*
Phone:*	(xxx-xxx-xxxx)
Cell Phone:	(xxx-xxx-xxxx)
E-mail:
Event Details
Requested Rental Date:*
Alternative Date:
Estimated Attendance:* Note: The Dome is only available for groups of 300 to 800 guests
Does your event require space for a patron reception:*
Brief description of your event:* (300 Character Max)	You have characters left.
How will the funds from this event be utilized?:* (300 Character Max)	You have characters left.