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Request for space
This is NOT a reservation, it is only a request for space. The information below will be emailed to our facilities administrator, who will contact you concerning your request.
Required for Billing
- Contact Information (Please fill out completely)
By including your information, you confirm that you have read and agree to all rules and
regulations
—both general and specific—for use of this space, and that you are authorized to represent the organization below.
Your Name
Organization/department
Complete Mailing Address
Phone
Fax
Your Email
Date of Event (yyyy-mm-dd)
Title of Event:
Anticipated Attendance
Begin Date
End Date
Begin Time
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 Noon
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
End Time
12:00 AM
1:00 AM
2:00 AM
3:00 AM
4:00 AM
5:00 AM
6:00 AM
7:00 AM
8:00 AM
9:00 AM
10:00 AM
11:00 AM
12:00 Noon
1:00 PM
2:00 PM
3:00 PM
4:00 PM
5:00 PM
6:00 PM
7:00 PM
8:00 PM
9:00 PM
10:00 PM
11:00 PM
Facility
Use
Space Name 1
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 1 Setup
Space Name 2
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 2 Setup
Space Name 3
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 3 Setup
Space Name 4
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 4 Setup
Space Name 5
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 5 Setup
Space Name 6
Choose a Room
Auditorium
Conference Room A
Conference B
Conference C
Conference D
Conference C/D
Conference E
Lounge
Room 6 Setup
Other Needs or Room Usage Issues
Refreshment Breaks
Refreshments (per person rate)
*Sales tax will be added.
Coffee = $4.25
Sodas = $4.25
Bottle Water - $1.25
Full Beverage = $5.00
Standard AM Break = $6.50
Deluxe AM Break = $8.25
Sodas & Cookies = $5.00
Standard PM Break = $6.25
Deluxe PM Break = $8.25
Sodas & Fruit = $5.00
Rate Quotes Needed:
Parking
Room(s)
Box Lunch Menu
Buffet Menu
Discount Quote
Audio Visual Equipment Needs
Choose your equipment needs
Slide Projector
Overhead Projector
Uplinking/Downlinking
Visual Presentation Equipment
Additional Comments
or Questions
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