Event Reservation From

Requesting Organization

Contact Person

Address

City/Town

State/Province

ZIP/Postal Code

Email

Phone

Fax

Which campus location are you requesting?

Number of Attendees

Recurring Event in the same Academic Year? (July 1 - June 30)

Yes

No

If Yes, Please provide details of the recurrence

Will Food be served?

Yes

No

If yes, what time will the caterer arrive?

Caterer Contact Info

Event Title

Event Date and Start Time

Event End Date and Time

Setup Start Time

Breakdown End Time

Do you need to meet with Technical Staff member?

Yes

No

What time do you want to meet with Technical Staff Member

Set-up Configuration

If you selected other setup above please describe the setup you are requesting.

	Equipment and Audio-Visual Needs
Overhead projector and wireless remote	Overhead projector and wireless remote
Projection screen	Projection screen
Computer	Computer
Internet connection	Internet connection
Dry-erase board	Dry-erase board
Registration table	Registration table
Refreshment table	Refreshment table
Additional tables	Additional tables
Additional chairs	Additional chairs
Music playback	Music playback
Podium	Podium
Table-top Lectern	Table-top Lectern
Podium Mounted Microphone	Podium Mounted Microphone
Hand-held Microphone with cord	Hand-held Microphone with cord
Microphone Stands (6 available)	Microphone Stands (6 available)
Microphone Stands (with boom)	Microphone Stands (with boom)
Wireless Lapel Microphone	Wireless Lapel Microphone
Wireless Hand-held Microphone (2 available)	Wireless Hand-held Microphone (2 available)
7.5 foot Kawai Grand piano (auditorium only)	7.5 foot Kawai Grand piano (auditorium only)
Stage	Stage
Special stage lighting (auditorium only)	Special stage lighting (auditorium only)
Kitchenette	Kitchenette

	Equipment and Audio-Visual Needs
Overhead projector and wireless remote	Overhead projector and wireless remote
Projection screen	Projection screen
Computer	Computer
Internet connection	Internet connection
Dry-erase board	Dry-erase board
Registration table	Registration table
Refreshment table	Refreshment table
Additional tables	Additional tables
Additional chairs	Additional chairs
Kitchenette	Kitchenette

	Equipment and Audio-Visual Needs
Overhead projector and wireless remote	Overhead projector and wireless remote
Projection screen	Projection screen
Computer	Computer
Internet connection	Internet connection
Dry-erase board	Dry-erase board
Additional tables	Additional tables
Additional chairs	Additional chairs

Additional Information or Requests

"I will instruct all organizers and attendees to comply with all campus signage, including fire lanes, accessible, reserved, bookstore, service vehicle, restricted, and employee parking. Violators will be requested to move their vehicles to approved parking areas."

By checking this box, you acknowledge and agree to the following campus policies.

Checking this box means you will ensure that all event organizers and attendees will adhere to these policies.

You acknowledge and understand that no attendee or organizer shall use alcohol or substances that cause impairment while on premises. 4.04.04
You acknowledge and understand that no attendee or organizer shall carry a weapon on campus. "Weapon" including firearms, explosives, BB guns, stun guns, air rifles or pistols, knives, and other sharp instruments. 4.03.09
You acknowledge and understand that no attendee or organizer shall smoke or use tobacco products while on campus. 3.02.05

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