External Conference Request Form
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1.
Your Name:
*
2.
Your Title:
*
3.
Your Organization:
*
4.
Your Phone Number:
*
Daytime
Evening
5.
Your E-mail:
*
6.
I would like to reserve the following conference equipment: (Please select all that apply)
*
Laptop
Portable Projector
Computer Speakers
Slide Changer/Pointer
Projection Screen
Conference Phone
iTV Equipment (Large Unit on Cart)
iTV Equipment (Desktop Unit)
Whiteboard
Easel
Other: Please list any special requests here:
7.
Meeting/Event Name
*
8.
Meeting/Event Date (You can enter the date using the calendar icon at the right.)
*
mm/dd/yyyy
9.
Meeting/Event Setup Time
*
Please indicate the time you wish to set up for your event.
10.
Meeting/Event Start Time
*
11.
Meeting/Event End Time
*
12.
Event Clean-up Time Needed
*
None
15 minutes
30 minutes
13.
Meeting Location
*
Please remember that meeting organizers need to arrange room reservations separately.
McCain A (occup. 16-20)
McCain B (occup. 40-50)
Both McCain Rooms (occup. 75)
Beckwith (occup. 12-14)
CR1 (occup. 4-6)
CR2 (occup. 10-12)
CR3 (occup. 12-14)
CR4 (occup. 10-12)
14.
Number of Attendees:
*
15.
Table Request:
*
6-foot tables
5-foot round tables
16.
Would you like a pre-meeting walkthrough (by appointment)?
*
Please call Conference Room Coordinator at 768-4172
Yes
No
17.
Do you need IT assistance?
*
Yes
No
18.
Contact Information
*
Address 1
Address 2
City
State
ZIP
19.
Please list any special requests or notes below: