Facilities Rental

  • Facilities Rental Request Form

    Event details  (required *)
    Type:*
     
                                 
    Event Title:*
     
    Date:*
     [None] Select a Date Delete the Date
    Starting Time:*
     
    Ending Time:*
     
    Number Attending:*
     
     Description of Event:*     
     Group or Club Sponsoring the Event: *   
     Material to be Covered During Proposed Event:*    

    Contact information  (required *)

    Contact name:*

     
    Company name:
     
    Address:*
     
    City:*
     
    State:*  
     Zip:*  
    Phone:*
     
    Fax:  
    Cell:
                      
    Email:   

    Billing information
    Billing name:
     
    Address:  
    City:  
    State:   
    Zip:  
    E-mail:  
    Contact person:  
    Phone:                    
    Fax:  

    Non-profit?
    Enter number here:

     

    Room type(s) and quantity needed (see costs)
    Quantity Room Type Seating Capacity
    Classrooms 30
    Computer labs 25
    ITV classroom 24
    Webinar-capable room (Webinars are Web-based seminars. Necessary audio-visual equipment includes a speaker phone, computer and Internet access.) 12-50
      Allied Health Simulation Lab 30
    Conference rooms 30-322
    Meeting rooms 30
    Café 325

    Audio-visual equipment rental and services (fees do not apply to internal groups) 
    Please indicate how many of each you will need. (on-campus use only)

    #

    Item

    Fee

     

    #

    Item

    Fee

    Standard Microphone $30.00   1 Lapel Microphone $30.00
    Multimedia Station
    (includes projector, screen and computer)
    $75.00   Conference Phone (plus any phone charges) $25.00
          Set-up Charge
    (Includes delivery, setup and pickup - one charge per event)
    $15.00

    Special instruction(s) or needs for event